DocumentCode :
3746773
Title :
Discrete event simulation of whole care pathways to estimate cost-effectiveness in Clinical Guidelines
Author :
Julie Eatock;Joanne Lord;Marta Trapero-Bertran;Anastasia Anagnostou
Author_Institution :
Department of Computer Science, Brunel University London, Kingston Lane, Uxbridge, UB8 3PH, UK
fYear :
2015
Firstpage :
1447
Lastpage :
1458
Abstract :
For pragmatic reasons, cost-effectiveness analyses performed for NICE Clinical Guidelines use a piecemeal approach, evaluating only selected aspects of diagnosis, treatment or care. A Whole Pathway approach, considering diagnosis-to-death, may provide more realistic estimates of costs and health outcomes, taking account of the healthcare context and individual risk factors, history and choices for patients with long-term conditions. A patient-level DES model using the characteristics of 12,766 real patients was created to reflect the NICE guideline for Atrial Fibrillation. Of eight topics suggested for inclusion in an update of the guideline, the model was capable of fully answering four topics, and partially answering two topics. The remaining topics were beyond the scope of the model. The model was used by NICE in their recent update of the Atrial Fibrillation Clinical Guidelines.
Keywords :
"Guidelines","Economics","Drugs","Rhythm","Atrial fibrillation","Computational modeling","Context"
Publisher :
ieee
Conference_Titel :
Winter Simulation Conference (WSC), 2015
Electronic_ISBN :
1558-4305
Type :
conf
DOI :
10.1109/WSC.2015.7408267
Filename :
7408267
Link To Document :
بازگشت