PREDICTED COST AND CAPACITY BENEFITS OF THE DIGITALIZED SECONDARY CARE PATH FOR WOMEN WITH ENDOMETRIOSIS @ VIRTUAL HOSPITAL 2.0
Väätäinen S1, Soini E1, Arvonen S2, Suvitie PA3
1ESiOR Oy, Kuopio, 15, Finland, 2Virtual Hospital 2.0 project, Helsinki University Hospital, Helsinki, Finland, 3Virtuaalisairaala 2.0 project, Turku University Hospital and Department of Obstetrics and Gynecology, Turku University Hospital and University of Turku, Turku, Finland
OBJECTIVES: Virtual hospital 2.0 (VH2.0) platform, joint project between Finnish university hospitals produces and implements client-oriented digital secondary care services. Here the cost and capacity benefits of VH2.0 digital care path for women with endometriosis were assessed using predictive modelling. METHODS: PICOSTEPS reporting framework was applied. Patients: Women with endometriosis using specialized care services in 1) Turku University Hospital Catchment Area (TYKS ERVA) or Finland generally. Intervention: Modelled VH2.0 operational change with digital care path. Comparator: Conventional practice. Outcome: Potential capacity freed (PCF, cost difference; 2017 real value). Setting: Dynamic modelling considering predicted patient cohort changes based on population structures and morbidity. Time: Five years (2018 to 2022) in annual cycles; assuming implementation completed gradually in three years at the TYKS ERVA level and in four years at the national level. No discounting was done. Effects: Predicted over-time changes in population structure and morbidity, resource use (e.g., e.g. clinician visits, nurse and clinician calls, e-appointments, travelling, patient fees) and unit costs based on the RWD and expert information. Perspective: Third-party payer limited to direct secondary care and travelling costs. Sensitivity analyses: The gradual implementation of digital care path in two or five years. RESULTS: At the TYKS ERVA level, average annual PCF was estimated at €0.036 million for the first five years, summing up to total estimated five-year PCF of €0.179 million (14.4 % of the total conventional practice costs included). At the national Finnish level, average annual PCF was estimated at €0.203 million for the first five years, summing up to total estimated five-year PCF of €1.02 million (12.7%). The most important value drivers for PCF were revisits to a clinician and nurse calls. CONCLUSIONS: VH2.0 digital care path for women with endometriosis potentially frees capacity for other purposes and may increase availability and achievability of secondary care services.
Conference/Value in Health Info
2019-11, ISPOR Europe 2019, Copenhagen, Denmark
Reproductive and Sexual Health