Intervention prices |
Total price for the intervention | £30 000 | Total amount charged by EPP CIC: £24 000 for seven courses and £6000 for staff training |
Price per person in the intervention arm | £385 | Price per person in the intervention group (78 patients) |
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Healthcare service costs |
A&E visit | £111 | A&E treatment national mean29 |
Community matron home visit | £9 | Clinical support worker nursing (community)29 |
Community respiratory clinic | £138 | Same cost as an outpatient visit (expert opinion: Dr S Taylor) |
Course session attendance | £129 | £30 000 paid for all courses divided among the 232 patient sessions attended over the duration of the six courses. Cost of each course £4000; lay person total training costs £6000 |
GP practice | £36 | GP surgery consultation29 |
GP home visit | £58 | GP home visit29 |
Home rapid response | £190 | Rapid-response low-cost episode29 |
Hospital admission (1 day) | £319 | National reference costs COPD non-elective short stay (1 day or less)30 |
Hospital admission (>1 day) | £267 | COPD non-elective long stay without NIV and with complications30 |
Out of hours, per day | £200 | Expert opinion: Dr S Taylor |
Outpatients hospital | £138 | Cost weighted by the most frequent COPD visits (consultant-led follow-up attendance non-admitted face to face £118 weighted by 71% and consultant-led first attendance non-admitted face to face £186 weighted by 29%)30 |
Telephone | £22 | Telephone consultation30 |
Antibiotic prescription | £2 | Doxycycline 200 mg for 7 days31 |
Steroid prescription | £7 | Prednisolone 40 mg for 7 days31 |
Rescue pack | £9 | Doxycycline 200 mg for 7 days + prednisolone 40 mg for 7 days31 |
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Mean values for cost-effectiveness analysis |
Cost per person in intervention arm | £877 | Includes the intervention and healthcare services costs |
Cost per person in control arm | £395 | Includes healthcare services costs |
QALY per person in intervention arm | 0.682 | Calculated using EQ-5D scores from baseline, 2, and 6 months |
QALY per person in control arm | 0.569 | Calculated using EQ-5D scores from baseline, 2, and 6 months |