Evidence map›Paper›PMID 30029666›Full record

ArticleBMC health services research2018

Value co-creation in healthcare: evidence from innovative therapeutic alternatives for hereditary angioedema.

Rosanna Spanò, Nadia Di Paola, Maria Bova, Alessandro Barbarino

Abstract readComparative Study
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Value Cocreation in Health Care: Systematic Review.Journal of medical Internet research · 2022
    Pooled it
  2. Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics.International journal of environmental research and public health · 2021
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rosanna SpanòDepartment of Economics, Management, Institutions, University of Naples Federico II, Campus Universitario di Monte S. Angelo, Via Cintia 24, 80126, Naples, Italy. rosanna.spano@unina.it.ORCID 0000-0003-0557-3011
Nadia Di PaolaDepartment of Economics, Management, Institutions, University of Naples Federico II, Campus Universitario di Monte S. Angelo, Via Cintia 24, 80126, Naples, Italy.
Maria BovaDepartment of Translational Medical Sciences, University of Naples Federico II, Via S. Pansini 5, 80131, Naples, Italy.
Alessandro BarbarinoDepartment of Public Health, University of Naples Federico II, Via S. Pansini 5, 80131, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur research focuses on the co-creation of value in healthcare with reference to a case of hereditary angioedema with C1 inhibitor deficiency (C1-INH-HAE). Our work is mainly based on the concept of value co-creation in healthcare. The aim of this study is to assess the impact of an alternative treatment strategy - self-administration - by focusing on treatment outcomes and costs to understand if innovative therapeutic solutions can create value for patients and healthcare systems.

methodsThis paper compares home-based and hospital-based therapeutic strategies (independent of treatment type) with a cost minimization analysis. It encompasses compliance issues and focuses on both payer and societal perspectives, also benefiting from an operationalization of the service-dominant logic model for healthcare delivery. Data were collected over a 6-month period (August 2014-January 2015) through monthly patient interviews. Archival data were used for variable measurement.

resultsThirty-nine out of 62 patients enrolled in the study, experienced at least one HAE attacks, equally distributed between home and hospital-based strategies. No evidence of correlation between therapeutic strategy and disease severity score (p = 0.351), compliance (p = 0.399), and quality of life (p = 0.971), were found. Total direct cost per attack amounts to € 1224 for home-based strategy with respect to € 1454 for hospital-based strategy, with a savings of € 230. The economic advantage of the home-based strategy almost doubles if the societal perspective was considered due to a further savings of €169 (less missed work/school days and no travel expenses).

conclusionsOur study suggests that home-based therapies represent a feasible strategy for managing C1-INH-HAE and may result in lower costs and increased value for both patients and the healthcare systems. The findings are relevant to the debate on and extend the extant literature to provide a broader view of value co-creation dynamics for home-based therapies in healthcare and their positive effects. The insights are relevant to practitioners and policy makers.

Indexed as

AdultAngioedemas, HereditaryCosts and Cost AnalysisCost SavingsFemaleHome Care ServicesHumansMaleOutpatient Clinics, HospitalPatient ComplianceQuality-Adjusted Life YearsQuality of LifeSelf AdministrationTreatment OutcomeC1-INH-HAECompliancePayer perspectiveService-dominant logicSocietal perspectiveValue co-creation

Identifiers

PMID30029666
PMCPMC6053759

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.