Abstract：
OBJECTIVE: Remote patient monitoring (RPM) has demonstrated numerous benefits in cancer care, including improved quality of life, overall survival, and reduced medical resource use. This study presents a budget impact analysis of a nurse navigator-led RPM program, based on the CAPRI trial, from the perspective of the French national health insurance (NHI). The study aimed to assess the impact of the program on medical resource utilization and costs.
METHODS: Medical resource utilization data were collected from both medico-administrative sources and patient-reported questionnaires. Costs were calculated by applying unit costs to resource utilization and estimating the average monthly cost per patient. Sensitivity analyses were conducted to explore different perspectives and varying resource consumption.
RESULTS: The analysis included 559 cancer patients participating in the CAPRI program. From the NHI perspective, the program resulted in average savings of €377 per patient over the 4.58-month follow-up period, mainly due to reduced hospitalizations. The all-payers perspective yielded even greater savings of €504 per patient. Sensitivity analyses supported the robustness of the findings.
CONCLUSIONS: The budget impact analysis demonstrated that the CAPRI RPM program was associated with cost savings from the perspective of the NHI. The program\'s positive impact on reducing hospitalizations outweighed the additional costs associated with remote monitoring. These findings highlight the potential economic benefits of implementing RPM programs in cancer care. Further research is warranted to assess the long-term cost-effectiveness and scalability of such programs in the real-world settings.
METHODS: Medical resource utilization data were collected from both medico-administrative sources and patient-reported questionnaires. Costs were calculated by applying unit costs to resource utilization and estimating the average monthly cost per patient. Sensitivity analyses were conducted to explore different perspectives and varying resource consumption.
RESULTS: The analysis included 559 cancer patients participating in the CAPRI program. From the NHI perspective, the program resulted in average savings of €377 per patient over the 4.58-month follow-up period, mainly due to reduced hospitalizations. The all-payers perspective yielded even greater savings of €504 per patient. Sensitivity analyses supported the robustness of the findings.
CONCLUSIONS: The budget impact analysis demonstrated that the CAPRI RPM program was associated with cost savings from the perspective of the NHI. The program\'s positive impact on reducing hospitalizations outweighed the additional costs associated with remote monitoring. These findings highlight the potential economic benefits of implementing RPM programs in cancer care. Further research is warranted to assess the long-term cost-effectiveness and scalability of such programs in the real-world settings.
摘要：
目的：远程患者监护（RPM）已证明在癌症治疗中具有许多益处，包括提高生活质量，总生存率,减少医疗资源的使用。本研究对护士导航员主导的RPM计划进行了预算影响分析，根据CAPRI的审判，从法国国家健康保险（NHI）的角度来看。该研究旨在评估该计划对医疗资源利用和成本的影响。
方法：医疗资源利用数据来自医疗管理来源和患者报告问卷。通过将单位成本应用于资源利用并估计每位患者的平均每月成本来计算成本。进行了敏感性分析，以探索不同的观点和不同的资源消耗。
结果：分析包括559名参与CAPRI项目的癌症患者。从NHI的角度来看，该计划在4.58个月的随访期内平均每位患者节省了377欧元，主要是由于住院人数减少。所有付款人的观点为每位患者节省了504欧元。敏感性分析支持研究结果的稳健性。
结论：预算影响分析表明，从NHI的角度来看，CAPRIRPM计划与成本节省有关。该计划对减少住院的积极影响超过了与远程监控相关的额外成本。这些发现强调了在癌症护理中实施RPM计划的潜在经济效益。有必要进行进一步的研究，以评估此类程序在现实世界中的长期成本效益和可扩展性。
方法：医疗资源利用数据来自医疗管理来源和患者报告问卷。通过将单位成本应用于资源利用并估计每位患者的平均每月成本来计算成本。进行了敏感性分析，以探索不同的观点和不同的资源消耗。
结果：分析包括559名参与CAPRI项目的癌症患者。从NHI的角度来看，该计划在4.58个月的随访期内平均每位患者节省了377欧元，主要是由于住院人数减少。所有付款人的观点为每位患者节省了504欧元。敏感性分析支持研究结果的稳健性。
结论：预算影响分析表明，从NHI的角度来看，CAPRIRPM计划与成本节省有关。该计划对减少住院的积极影响超过了与远程监控相关的额外成本。这些发现强调了在癌症护理中实施RPM计划的潜在经济效益。有必要进行进一步的研究，以评估此类程序在现实世界中的长期成本效益和可扩展性。
