Please use this identifier to cite or link to this item:
Title: Cost-effectiveness of an inpatient nurse practitioner in heart failure.
Austin Authors: Driscoll, A;Watts, J J;Meagher, S;Kennedy, R;Mar, R;Johnson, Paul D R ;Hare, D L;Farouque, O;Gao, L
Affiliation: Austin Health
Deakin University.
Melbourne Health and University of Melbourne.
Issue Date: 17-Apr-2023
Date: 2023
Publication information: European Journal of Cardiovascular Nursing 2023
Abstract: Heart failure (HF) nurse practitioners (NP) are an important part of the HF specialist team and their impact on the cost-effectiveness of their role is unknown. The aim of this study was to determine the cost effectiveness of a HF NP inpatient service compared to current practice of no HF NP service from a health system perspective at 12 months and three years. We developed a Markov model to estimate costs, effects and cost-effectiveness for hospitalised HF patients and seen by a HF NP service compared to usual care at 12 months and 3 years. Costs and effects were taken from a retrospective observational cohort study. Transition probabilities and utilities were derived from published studies.A total of 500 patients were included (250 patients in the HF NP service vs 250 patients in usual care). Average age was 77.7 +11 years and 54% were male. At 12 months, the HF NP group was cheaper and more effective compared to no HF NP ($23 031 vs $25 111 (AUD) respectively; quality adjusted life-years (QALYs) were 0.68 in HF NP group compared to 0.66 in usual care). The incremental cost effectiveness ratio showed a savings of $109 474 per QALY gained at 12 months and a savings of $270 667 per QALY gained at three years in favour of the HF NP service. The HF NP service was cost-effective with lower costs and higher QALYs compared to no HF NP service. Economic evaluations alongside RCTs are warranted.
DOI: 10.1093/eurjcn/zvad036
ORCID: 0000-0002-6837-0249
Journal: European Journal of Cardiovascular Nursing
PubMed URL: 37067006
ISSN: 1873-1953
Type: Journal Article
Subjects: cost-effectiveness
economic evaluation
heart failure
nurse practitioner
Appears in Collections:Journal articles

Show full item record

Page view(s)

checked on Dec 3, 2023

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.