Abstract
BackgroundCommunity nurses delivering heart failure self-care education improve patient outcomes, but the cost-effectiveness of this type of nurse-led intervention has not been recently established. AimTo determine the cost-effectiveness of community nurses’ self-care education for heart failure patients compared with usual care. MethodsWe performed a cost-effectiveness analysis from the perspective of the Italian National Health Service. A Markov model simulated the progression of a cohort of 1000 heart failure patients receiving remote self-care education after hospital discharge or usual care. Outcomes included costs, quality-adjusted life years, and incremental cost-effectiveness ratio. The willingness-to-pay threshold was established at €40,000/quality-adjusted life years. FindingsOver the 20-year time horizon, community nurses’ care incurred an extra cost of €1.3 million while gaining 247 quality-adjusted life years compared with usual care, and the incremental cost-effectiveness ratio was €5490/quality-adjusted life years. ConclusionsThe involvement of community nurses in self-care education is a potential cost-effective way of delivering home self-care education to heart failure patients.
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