TY - JOUR
T1 - Economic and societal impact of a systems-of-care approach for stemi management in low and middle-income countries
T2 - Insights from the tn stemi program
AU - Mohan, Varshini Neethi
AU - Alexander, Thomas
AU - Muraleedharan, V. R.
AU - Mullasari, Ajit
AU - Narula, Jagat
AU - Khot, Umesh N.
AU - Nallamothu, Brahmajee K.
AU - Kumbhani, Dharam J.
N1 - Funding Information:
Having established the feasibility and potential mortality benefit of implementing such a strategy, it is helpful to consider both the actuarial and estimated costs of implementing such a strategy in other settings. The implementation of the pilot project was funded by STEMI India, a non-governmental organisation, and by the Indian Council of Medical Research. Over a period of 319 days (10.6 months), the total implementation costs incurred (in 2013 INR) were Rs.13.2 million (annualized cost Rs. 15.11 million, or USD 258,268 at the annual average exchange rate in 2013) [10]. This is the direct cost purely of setting up, implementing and monitoring such a “hub and spoke” model and does not include drug, device or hospitalization costs. A breakdown of these costs is as below:
Publisher Copyright:
© 2019, Ubiquity Press. All rights reserved.
PY - 2019
Y1 - 2019
N2 - The TN STEMI Program was a multicenter, prospective, observational study conducted in Tamil Nadu, India, that assessed the effects of implementing the STEMI India Model for the management of STEMI. We discuss the economic and societal impact in this article. Given that the intervention resulted in an absolute mortality reduction of 3.4%, we calculated a number needed to treat of 30 patients. At an annualized project cost of INR 15.11 million, this approximately calculates to INR 193,749 (USD 3,311) per life saved. The utility of the TN-STEMI Program can be estimated to be 1,108 life-years. This calculates to approximately INR 13,643 (USD 233) per life-year saved. Our estimates will likely be of particular interest to policy makers in low and middle-income countries, where financial and resource constraints pose a perennial public health challenge.
AB - The TN STEMI Program was a multicenter, prospective, observational study conducted in Tamil Nadu, India, that assessed the effects of implementing the STEMI India Model for the management of STEMI. We discuss the economic and societal impact in this article. Given that the intervention resulted in an absolute mortality reduction of 3.4%, we calculated a number needed to treat of 30 patients. At an annualized project cost of INR 15.11 million, this approximately calculates to INR 193,749 (USD 3,311) per life saved. The utility of the TN-STEMI Program can be estimated to be 1,108 life-years. This calculates to approximately INR 13,643 (USD 233) per life-year saved. Our estimates will likely be of particular interest to policy makers in low and middle-income countries, where financial and resource constraints pose a perennial public health challenge.
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U2 - 10.5334/aogh.2508
DO - 10.5334/aogh.2508
M3 - Article
C2 - 31673509
AN - SCOPUS:85074367790
SN - 0027-2507
VL - 85
JO - Annals of Global Health
JF - Annals of Global Health
IS - 1
M1 - 122
ER -