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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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[Cost effectiveness of a theoretical cardiac rehabilitation program after myocardial infarction]

Paulina López-Montecinos, Jame Rebolledo S, José Miguel Gómez L

    Revista Medica De Chile
    |July 13, 2016
    PubMed

    Insights

    Implementing a comprehensive cardiac rehabilitation program after myocardial infarction is highly cost-effective. This intervention significantly reduces mortality and improves life years within public health systems.

    Area of Science:

    • Cardiovascular Disease Research
    • Health Economics
    • Public Health Interventions

    Background:

    • Secondary prevention programs are crucial for cardiovascular disease (CVD) patient care.
    • Established evidence confirms their effectiveness in reducing morbidity and mortality.

    Purpose of the Study:

    • To evaluate the cost-effectiveness of a theoretical comprehensive cardiac rehabilitation (CCR) outpatient program.
    • The program is designed for post-myocardial infarction (MI) patients within the Chilean Public Health System.

    Main Methods:

    • A theoretical CCR program protocol was developed, adapting international guidelines to local Chilean needs.
    • Cost analysis and estimation of life years gained with and without CCR participation were performed.
    • Incremental Cost Effectiveness Ratio (ICER) was calculated.

    Main Results:

    • The estimated annual cost for a CCR center is 64,407,065 Chilean pesos (CLP).
    • The ICER is 475,209.7 CLP per year of life gained, assuming a 25% reduction in late mortality.
    • This ICER is below one unit of per capita GDP, indicating very high cost-effectiveness.

    Conclusions:

    • A comprehensive cardiac rehabilitation program post-myocardial infarction is a very cost-effective intervention.
    • The findings support the implementation of such programs within public health services.
    Abstract

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