Kumar Srishti, Shen Julia W, Grimes David, Mestre Tiago, Thavorn Kednapa
Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada.
J Parkinsons Dis. 2021;11(4):2085-2091. doi: 10.3233/JPD-212578.
Parkinson's disease (PD) is a complex and debilitating condition that requires care from a multispecialty team. The Integrated Parkinson Care Network (IPCN) is an innovative pragmatic care model that focuses on integrated care, self-management support and technology-enabled care.
This study aims to estimate the costs of the IPCN and assess whether benefits gained from the intervention offset its costs based on a single center experience.
We conducted a return on investment (ROI) analysis of the IPCN from a societal perspective. The ROI for the IPCN was estimated as a ratio of the net savings and the intervention cost. The intervention cost was calculated as a sum of set-up and implementation costs. Cost savings was measured as the absolute reduction in the societal costs realized by PD patients. A positive ROI indicated that savings generated from the intervention offset its cost.
The total cost of the IPCN for 100 PD patients was C$135,669, or C$226 per patient per month. IPCN was associated with the reduction in societal cost of C$915 per patient per month (95%CI: -2,782, 951). The ROI per PD patient per month for the IPCN was 3.08 (95%CI: -0.60, 22.93), suggesting that for every C$1 invested in the IPCN, C$4.08 is gained through reduction in societal costs. The returns were greater among advanced PD patients.
The IPCN has the potential to offer a good return on investment for PD patients, and its value for money is higher among advanced PD patients.
帕金森病（PD）是一种复杂且使人衰弱的疾病，需要多专科团队的护理。综合帕金森病护理网络（IPCN）是一种创新的实用护理模式，专注于综合护理、自我管理支持和技术支持护理。
本研究旨在根据单中心经验估计IPCN的成本，并评估干预措施所带来的益处是否能抵消其成本。
我们从社会角度对IPCN进行了投资回报率（ROI）分析。IPCN的ROI估计为净节省与干预成本的比率。干预成本计算为设置和实施成本之和。成本节省以PD患者实现的社会成本的绝对减少量来衡量。正的ROI表明干预措施产生的节省抵消了其成本。
100名PD患者的IPCN总成本为135,669加元，即每位患者每月226加元。IPCN与每位患者每月915加元的社会成本降低相关（95%CI：-2,782，951）。IPCN每位PD患者每月的ROI为3.08（95%CI：-0.60，22.93），这表明在IPCN上每投资1加元，通过降低社会成本可获得4.08加元。晚期PD患者的回报更高。
IPCN有可能为PD患者提供良好的投资回报，并且其性价比在晚期PD患者中更高。
