Page 136 - Azerbaijan State University of Economics

Christian Elsner, Dennis Häckl: Health Economic value generation in the Azerbaijan Republic:
simulatedresults for a integrated telecardiology care program

The researched technology included a “simple” setting of a daily monitoring of Blood-

Pressure and Weight-Measurement in the patients. Cost for this treatment was not calculated in

this simulation.

V. RESULTS FROM THE SIMULATION

Hospital Reha‐ Transport
Entity p.a. in TSD US$ Medication QALYs Overall
Treatment bilitation Cost
Myocardial Infarction $ 1.912 $ 1.445 $ 79 $ 113 $ 14.593
11.045 $
2.107
Stroke $ 212 $ 863 $ 105 $ 7 $ 920 $
23.589 $
Heart Failure $ 12.025 $ 445 $ 1.325 $ 123 $ 37.507
$ 14.149 $ $ $ 243 $
1.508
2.753
35.554
Table 2:Distribution of p.a. savings over the complete model for all entities in TSD US$

Hospital Reha‐ Transport
Entity p. Pt. p.a. Medication QALYs Overall
Treatment bilitation Cost
Myocardial Infarction $ 11,41 $ 0,47 $ 65,92 $
87,10
8,63 $
0,67 $
5,15 $
0,04 $
Stroke $ 1,27 $ 0,63 $ 5,49 $
12,58
Heart Failure $ 71,77 $ 7,91 $ 140,79 $
0,73 $
223,86
2,66 $
212,20
$ $ $ 1,45 $
9,00 $
16,43
84,45
Table 3: Distribution of p.a. savings for all entities in US$ per patient
Table 2 and 3 show the results in two different notations: an AR wide saving per year
(table 2) and a per Patient saving in the AR (table 3). The simulation was performed according to
the described modelling approach over a simple monte-carlo-treeage and Microsoft Excel
Simulation for the 3 dimensions. Output parameters were 4 simplified cost dimension parameters

“Hospital Treatment Cost”, “Medication Cost”, “Cost for Rehabilitation” and “Transport Cost”.

These were chosen for the pure projection of savings and a 5thdimension “QALYs” (at the given

cost of 4.000 US$) was also projected in an US$ equivalent.

VI. DISCUSSION OF THE RESULTS

Looking at the specific results of the simulated population and the value generation

through a “simple” telemonitoring over external devices, one can say, that the technology has an

136