000147169 001__ 147169
000147169 005__ 20241212141913.0
000147169 0247_ $$2doi$$a10.1155/2024/9989080
000147169 0248_ $$2sideral$$a140901
000147169 037__ $$aART-2024-140901
000147169 041__ $$aeng
000147169 100__ $$aGómez-Barrera, Manuel
000147169 245__ $$aNurse-led telephone program for nonadherent to treatment Type 2 diabetics with comorbid depression: a cost-consequence and budget impact analysis
000147169 260__ $$c2024
000147169 5060_ $$aAccess copy available to the general public$$fUnrestricted
000147169 5203_ $$aObjective: To estimate the efficiency of a nurse‐led telephone program for nonadherent to treatment Type 2 diabetics with comorbid depression (TELE‐DD program).Design: Secondary analysis of cost‐consequence and budget impact, utilizing data from a randomized clinical trial conducted in the primary healthcare setting. The target population consisted of Type 2 diabetic patients with comorbid depression who were nonadherent to their pharmacological treatment.Method: The average cost per controlled patient (glycated hemoglobin < 7%) and the incremental cost‐effectiveness ratio were calculated. Similarly, the budgetary impact over 1 year of implementing this program in the region of reference of the randomized clinical trial was assessed.Results: The number of controlled patients is higher in the TELE‐DD group at 6, 12, and 18 months. The average cost per controlled patient was higher in the TELE‐DD group than in the control group at 6 months (€160.31 vs. €49.79), but lower at 12 (€150.09 vs. €179.59) and 18 months (€209.22 vs. €376.88). The incremental cost‐effectiveness ratio at 6, 12, and 18 months was €254.47, €143.65, and €177.46, respectively. The budget impact analysis revealed that implementing the TELE‐DD program would result in a reduction of €721,940.68 in expenditure for the funder in the first year of application.Conclusions: A nurse‐led telephone program for nonadherent Type 2 diabetics with comorbid depression is an efficient option in the management of healthcare resources. These results highlight the role of nursing in chronic patient management and the efficient use of healthcare resources.Trial Registration: ClinicalTrials.gov Identifier: NCT04097483.
000147169 536__ $$9info:eu-repo/grantAgreement/ES/DGA/B53-23R
000147169 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000147169 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000147169 700__ $$0(orcid)0000-0003-2448-1630$$aLozano-Del Hoyo, María Luisa$$uUniversidad de Zaragoza
000147169 700__ $$aRoy, Juan Francisco
000147169 700__ $$0(orcid)0000-0002-6455-119X$$aFernández-Rodrigo, María Teresa$$uUniversidad de Zaragoza
000147169 700__ $$0(orcid)0000-0003-0045-7871$$aGómez-Torres, Piedad$$uUniversidad de Zaragoza
000147169 700__ $$0(orcid)0000-0002-8197-9884$$aBlázquez-Ornat, Isabel$$uUniversidad de Zaragoza
000147169 700__ $$aPérez-Calahorra, Sofía
000147169 700__ $$aSamaniego Diaz de Corcuera, Maria Esther
000147169 700__ $$aFerrer-López, Emilia$$uUniversidad de Zaragoza
000147169 700__ $$aRamón-Arbués, Enrique
000147169 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000147169 773__ $$g2024 (2024), 9989080 [9 pp.]$$pJOURNAL OF NURSING MANAGEMENT$$tJOURNAL OF NURSING MANAGEMENT$$x0966-0429
000147169 8564_ $$s480810$$uhttps://zaguan.unizar.es/record/147169/files/texto_completo.pdf$$yVersión publicada
000147169 8564_ $$s2266744$$uhttps://zaguan.unizar.es/record/147169/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000147169 909CO $$ooai:zaguan.unizar.es:147169$$particulos$$pdriver
000147169 951__ $$a2024-12-12-12:44:16
000147169 980__ $$aARTICLE