Cost-effectiveness of the utilization of "good practice" or the lack thereof according to a bronchiolitis evidence-based clinical practice guideline

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dc.contributor.authorRodríguez Martínez, Carlos E.
dc.contributor.authorSossa Briceño, Mónica P.
dc.contributor.authorCastro Rodríguez, José Antonio
dc.date.accessioned2020-11-25T17:34:35Z
dc.date.available2020-11-25T17:34:35Z
dc.date.issued2019
dc.description.abstractRationale, aims, and objectives: The aim of the present study was to determine the cost-effectiveness of the utilization of “good practice” according to a bronchiolitis clinical practice guideline (CPG) in a population of infants hospitalized for acute bronchiolitis. Method: A decision-analysis model was developed in order to estimate the cost-effectiveness of the utilization of “good practice” compared with the lack of use of “good practice” according to a bronchiolitis evidence-based CPG. The effectiveness parameters and costs of the model were obtained from electronic medical records. The main outcome was the readmission of the patients within 10 days of post discharge. Results: Compared with lack of “good practice,” the utilization of “good practice” in the diagnosis and management of patients with bronchiolitis was associated with both fewer patients readmitted within 10 days of post discharge (0.88 vs 0.99 on average per patient) and lower costs (US$1529.3 versus $1709.1 average cost per patient), thus leading to dominance. Results were robust to deterministic and probabilistic sensitivity analyses. Conclusions: Compared with lack of “good practice,” the utilization of “good practice” in the diagnosis and management of acute bronchiolitis according to a bronchiolitis CPG is a dominant strategy because it involves both fewer patients readmitted within 10 days of post discharge and lower costs.
dc.format.extent7 páginas
dc.fuente.origenConveris
dc.identifier.doi10.1111/jep.13157
dc.identifier.issn1356-1294
dc.identifier.urihttps://doi.org/10.1111/jep.13157
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/49073
dc.information.autorucEscuela de medicina ; Castro Rodríguez, José Antonio ; 0000-0002-0708-4281 ; 113247
dc.issue.numeroNo. 4
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final688
dc.pagina.inicio682
dc.relation.isformatofJournal of Evaluation in Clinical Practice, vol. 25, no. 4 (ago. 2019), pp. 682-688.
dc.revistaJournal of Evaluation in Clinical Practicees_ES
dc.rightsacceso restringido
dc.subjectBronchiolitis
dc.subjectClinical practice guidelines
dc.subjectCost‐effectiveness
dc.subjectHealth economics
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.otherMedicina y salud
dc.titleCost-effectiveness of the utilization of "good practice" or the lack thereof according to a bronchiolitis evidence-based clinical practice guidelinees_ES
dc.typeartículo
dc.volumenVol. 25
sipa.codpersvinculados113247
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