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[Medico-economic evaluation of the PRADO-BPCO post-exacerbation support program].

N Roche1, A Caron2, C Emery2

  • 1Service de pneumologie, institut Cochin (UMR1016), hôpital Cochin, AP-HP, centre université Paris Cité, Paris, France; Inserm UMR1018, équipe d'épidémiologie respiratoire intégrative, CESP, Villejuif, France.

Revue Des Maladies Respiratoires
|June 1, 2024
PubMed
Summary

The Programme d'Accompagnement du retour à Domicile (PRADO) for COPD improves care quality but does not reduce overall mortality or rehospitalizations. However, optimal care pathways within PRADO did show decreased rehospitalization rates.

Keywords:
BPCOCOPDCare pathwayExacerbationsHome discharge support programHospitalisationsHospitalizationsMortalityMortalitéParcours de soinsProgramme d’accompagnement du retour à domicile

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Area of Science:

  • Pulmonary Medicine
  • Health Services Research
  • Health Economics

Context:

  • Hospitalized COPD exacerbations necessitate structured post-discharge care.
  • The Programme d'Accompagnement du retour à Domicile (PRADO) COPD is a home discharge support program.
  • Assessing the medico-economic impact of PRADO COPD is crucial for healthcare system optimization.

Purpose:

  • To evaluate the medico-economic impact of the PRADO COPD program.
  • To compare outcomes between patients in the PRADO COPD program and a matched control group.
  • To analyze the effect of PRADO COPD on mortality, rehospitalization, and healthcare costs.

Summary:

  • A retrospective study analyzed PRADO COPD patients (2017-2019) using National Health Data System data.
  • Propensity score matching created a control group to compare 12-month post-hospitalization outcomes.
  • PRADO COPD improved adherence to care recommendations but did not significantly impact overall mortality or rehospitalization rates.

Impact:

  • The PRADO COPD program enhances the quality of patient care pathways.
  • A significant reduction in rehospitalization rates was observed for PRADO patients with optimal care pathways.
  • Healthcare costs were higher by €670 per patient in the PRADO group, indicating a trade-off between quality and cost.