Cost–utility analysis of a palliative care program in Colombia

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dc.contributor.authorRodríguez Campos, Luisa
dc.contributor.authorRodríguez Lesmes, Paul Andrés
dc.contributor.authorPalomino Cancino, Analhi
dc.contributor.authorValle Díaz, Iris del
dc.contributor.authorGamboa, Luis Fernando
dc.contributor.authorCastillo Niuman, Andrea
dc.contributor.authorSalas, Juan Sebastián
dc.contributor.authorSarmiento, Gabriela
dc.contributor.authorMartínez-Bernal, Jorge
dc.contributor.authorGonzález Vélez, Abel Ernesto
dc.date.accessioned2025-06-02T09:12:39Z
dc.date.available2025-06-02T09:12:39Z
dc.date.issued2024-07-06
dc.date.updated2025-06-02T09:12:38Z
dc.description.abstractBackground: The economic assessment of health care models in palliative care promotes their global development. The purpose of the study is to assess the cost-effectiveness of a palliative care program (named Contigo) with that of conventional care from the perspective of a health benefit plan administrator company, Sanitas, in Colombia. Methods: The incremental cost-utility ratio (ICUR) and the incremental net monetary benefit (INMB) were estimated using micro-costing in a retrospective, analytical cross-sectional study on the care of terminally ill patients enrolled in a palliative care program. A 6-month time horizon prior to death was used. The EQ-5D-3 L questionnaire (EQ-5D-3 L) and the McGill Quality of Life Questionnaire (MQOL) were used to measure the quality of life. Results: The study included 43 patients managed within the program and 16 patients who received conventional medical management. The program was less expensive than the conventional practice (difference of 1,924.35 US dollars (USD), P = 0.18). When compared to the last 15 days, there is a higher perception of quality of life, which yielded 0.25 in the EQ-5D-3 L (p < 0.01) and 1.55 in the MQOL (P < 0.01). The ICUR was negative and the INMB was positive. Conclusion: Because the Contigo program reduces costs while improving quality of life, it is considered to be net cost-saving and a model with value in health care. Greater availability of palliative care programs, such as Contigo, in Colombia can help reduce existing gaps in access to universal palliative care health coverage, resulting in more cost-effective care.en
dc.description.sponsorshipThis work was supported by the Ministerio de Ciencia, Tecnología e Innovación of Colombia - Convocatoria 807 de 2018 Code: 143580764115 Contract RC N° 719 de 2018en
dc.identifier.citationRodríguez-Campos, L., Andres Rodriguez-Lesmes, P., Palomino Cancino, A., del Valle Díaz, I., Fernando Gamboa, L., Castillo Niuman, A., Sebastián Salas, J., Sarmiento, G., Martínez-Bernal, J., & González-Vélez, A. E. (2024). Cost–utility analysis of a palliative care program in Colombia. BMC Palliative Care, 23(1). https://doi.org/10.1186/S12904-024-01476-6
dc.identifier.doi10.1186/S12904-024-01476-6
dc.identifier.eissn1472-684X
dc.identifier.urihttps://hdl.handle.net/20.500.14454/2894
dc.language.isoeng
dc.publisherBioMed Central Ltd
dc.rights© The Author(s) 2024
dc.subject.otherCost–utility analysis
dc.subject.otherDelivery of health care
dc.subject.otherInsurance providers
dc.subject.otherPalliative care
dc.titleCost–utility analysis of a palliative care program in Colombiaen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.issue1
oaire.citation.titleBMC Palliative Care
oaire.citation.volume23
oaire.licenseConditionhttps://creativecommons.org/licenses/by/4.0/
oaire.versionVoR
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