147169 20260217205541.0 doi 10.1155/2024/9989080 sideral 140901 ART-2024-140901 eng Gómez-Barrera, Manuel Nurse-led telephone program for nonadherent to treatment Type 2 diabetics with comorbid depression: a cost-consequence and budget impact analysis 2024 Access copy available to the general public Unrestricted Objective: 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. info:eu-repo/grantAgreement/ES/DGA/B53-23R info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es 4.0 2024 NURSING 6 / 193 = 0.031 2024 Q1 T1 NURSING 6 / 193 = 0.031 2024 Q1 T1 MANAGEMENT 132 / 420 = 0.314 2024 Q2 T1 1.706 2024 Leadership and Management 2024 Q1 10.0 2024 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Lozano-Del Hoyo, María Luisa Universidad de Zaragoza (orcid)0000-0003-2448-1630 Roy, Juan Francisco Fernández-Rodrigo, María Teresa Universidad de Zaragoza (orcid)0000-0002-6455-119X Gómez-Torres, Piedad Universidad de Zaragoza (orcid)0000-0003-0045-7871 Blázquez-Ornat, Isabel Universidad de Zaragoza (orcid)0000-0002-8197-9884 Pérez-Calahorra, Sofía Samaniego Diaz de Corcuera, Maria Esther Ferrer-López, Emilia Universidad de Zaragoza Ramón-Arbués, Enrique 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería (2024), 9989080 [9 pp.] JOURNAL OF NURSING MANAGEMENT JOURNAL OF NURSING MANAGEMENT 0966-0429 480810 http://zaguan.unizar.es/record/147169/files/texto_completo.pdf Versión publicada 2266744 http://zaguan.unizar.es/record/147169/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:147169 articulos driver 2026-02-17-20:36:31 ARTICLE