Efficiency of “Prescribe Vida Saludable”, a health promotion innovation. Pilot phase
Objective: “Prescribe Vida Saludable” (PVS) is an organisational innovation designed to optimise the promotion of multiple healthy habits in primary healthcare. It aims to estimate the cost effectiveness and cost-utility of prescribing physical activity in the pilot phase of the PVS programme, compa...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-09-01
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| Series: | Gaceta Sanitaria |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0213911117300110 |
| _version_ | 1819081528042323968 |
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| author | Aitor Sanz-Guinea Maite Espinosa Gonzalo Grandes Álvaro Sáncheza Catalina Martínez Haizea Pombo Paola Bully Josep Cortada |
| author_facet | Aitor Sanz-Guinea Maite Espinosa Gonzalo Grandes Álvaro Sáncheza Catalina Martínez Haizea Pombo Paola Bully Josep Cortada |
| author_sort | Aitor Sanz-Guinea |
| collection | DOAJ |
| description | Objective: “Prescribe Vida Saludable” (PVS) is an organisational innovation designed to optimise the promotion of multiple healthy habits in primary healthcare. It aims to estimate the cost effectiveness and cost-utility of prescribing physical activity in the pilot phase of the PVS programme, compared to the routine clinical practice of promoting physical activity in primary healthcare.
Methods: An economic evaluation of the quasi-experimental pilot phase of PVS was carried out. In the four control centres, a systematic sample was selected of 194 patients who visited the centre in a single year and who did not comply with physical activity recommendations. In the four intervention centres, 122 patients who received their first physical activity prescription were consecutively enrolled. The costs were evaluated from the perspective of the PVS programme using bottom-up methodology. The effectiveness (proportion of patients who changed their physical activity) as well as the utility were evaluated at baseline and after 3 months. The incremental cost-utility ratio (ICUR) and the incremental cost-effectiveness ratio (ICER) were calculated and a sensitivity analysis was performed with bootstrapping and 1,000 replications.
Results: Information was obtained from 35% of control cases and 62% of intervention cases. The ICUR was €1,234.66/Quality Adjusted Life Years (QALY) and the ICER was €4.12. In 98.3% of the simulations, the ICUR was below the €30,000/QALY threshold.
Conclusions: The prescription of physical activity was demonstrably within acceptable cost-utility limits in the pilot PVS phase, even from a conservative perspective. |
| first_indexed | 2024-12-21T20:02:12Z |
| format | Article |
| id | doaj.art-28a5ebc04ba24351b7a534eba171afa6 |
| institution | Directory Open Access Journal |
| issn | 0213-9111 |
| language | English |
| last_indexed | 2024-12-21T20:02:12Z |
| publishDate | 2017-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Gaceta Sanitaria |
| spelling | doaj.art-28a5ebc04ba24351b7a534eba171afa62022-12-21T18:51:57ZengElsevierGaceta Sanitaria0213-91112017-09-0131540440910.1016/j.gaceta.2016.11.010Efficiency of “Prescribe Vida Saludable”, a health promotion innovation. Pilot phaseAitor Sanz-Guinea0Maite Espinosa1Gonzalo Grandes2Álvaro Sáncheza3Catalina Martínez4Haizea Pombo5Paola Bully6Josep Cortada7Primary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, SpainPrimary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, SpainPrimary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, SpainPrimary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, SpainPrimary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, SpainPrimary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, SpainPrimary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, SpainPrimary Healthcare Centre Deusto, Basque Healthcare Service, Osakidetza, Deusto (Bilbao), SpainObjective: “Prescribe Vida Saludable” (PVS) is an organisational innovation designed to optimise the promotion of multiple healthy habits in primary healthcare. It aims to estimate the cost effectiveness and cost-utility of prescribing physical activity in the pilot phase of the PVS programme, compared to the routine clinical practice of promoting physical activity in primary healthcare. Methods: An economic evaluation of the quasi-experimental pilot phase of PVS was carried out. In the four control centres, a systematic sample was selected of 194 patients who visited the centre in a single year and who did not comply with physical activity recommendations. In the four intervention centres, 122 patients who received their first physical activity prescription were consecutively enrolled. The costs were evaluated from the perspective of the PVS programme using bottom-up methodology. The effectiveness (proportion of patients who changed their physical activity) as well as the utility were evaluated at baseline and after 3 months. The incremental cost-utility ratio (ICUR) and the incremental cost-effectiveness ratio (ICER) were calculated and a sensitivity analysis was performed with bootstrapping and 1,000 replications. Results: Information was obtained from 35% of control cases and 62% of intervention cases. The ICUR was €1,234.66/Quality Adjusted Life Years (QALY) and the ICER was €4.12. In 98.3% of the simulations, the ICUR was below the €30,000/QALY threshold. Conclusions: The prescription of physical activity was demonstrably within acceptable cost-utility limits in the pilot PVS phase, even from a conservative perspective.http://www.sciencedirect.com/science/article/pii/S0213911117300110Cost-benefit analysisMotor activityQuality-adjusted life yearsPrimary healthcare |
| spellingShingle | Aitor Sanz-Guinea Maite Espinosa Gonzalo Grandes Álvaro Sáncheza Catalina Martínez Haizea Pombo Paola Bully Josep Cortada Efficiency of “Prescribe Vida Saludable”, a health promotion innovation. Pilot phase Gaceta Sanitaria Cost-benefit analysis Motor activity Quality-adjusted life years Primary healthcare |
| title | Efficiency of “Prescribe Vida Saludable”, a health promotion innovation. Pilot phase |
| title_full | Efficiency of “Prescribe Vida Saludable”, a health promotion innovation. Pilot phase |
| title_fullStr | Efficiency of “Prescribe Vida Saludable”, a health promotion innovation. Pilot phase |
| title_full_unstemmed | Efficiency of “Prescribe Vida Saludable”, a health promotion innovation. Pilot phase |
| title_short | Efficiency of “Prescribe Vida Saludable”, a health promotion innovation. Pilot phase |
| title_sort | efficiency of prescribe vida saludable a health promotion innovation pilot phase |
| topic | Cost-benefit analysis Motor activity Quality-adjusted life years Primary healthcare |
| url | http://www.sciencedirect.com/science/article/pii/S0213911117300110 |
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