Page 127 - Azerbaijan State University of Economics

THE JOURNAL OF ECONOMIC SCIENCES: THEORY AND PRACTICE, V.71, # 1, 2014, pp. 127-139

HEALTH ECONOMIC VALUE GENERATION IN THE AZERBAIJAN REPUBLIC:
SIMULATEDRESULTS FOR A INTEGRATED TELECARDIOLOGY CARE
PROGRAM

Christian Elsner
CEO at University ClinicUniversitätsklinikum Schleswig-Holstein,Campus Lübeck,
RatzeburgerAllee 160 (MFC 5, 3. OG) in 23538 Lübeck,
Email [email protected]

DennisHäckl
WIG Wissenschaftliches Institut, Nikolaistraße 6-10, 04109 Leipzig

Received January 6 2014; accepted 15 Mayl 2014; published online 15 July 2014

Abstract

Economic feasibility studies for Health-Technology Assessment (HTA) become more and

more important over time. While the data situation is quite good in industrialized countries, it is quite

hard to predict health economic values in countries with a developing healthcare system. In the

Azerbaijan Republic (AR) thereis a problematicdatasituation on theexactepidemiology oft he

Congestive Heart Failure (CHF) and a not tooprecisedatasituation on healthcarecost.

Thiasworktriestointerpolatethe worth of a disease management program for cardiac diseases in the

AR system and understands itself as a “best guess” and methodology to recalculate the effects with a

better and growing data situation.Additionally a risk sharing approach implementing better incentive

mechanisms was discussed.The entities taken into account by the simulation model were the impacts

on heart attack, stroke and heart failure. The Simulation took place atthe simulated AR population

with specific morbidity criteria.According to the simulation a per patient gross saving of 323,53 US$

per year was reached over all entities. The real cost saving without a QALY saving effect would be at

a 111,33 US$ per year. Taking also the new technology implementation cost into account, a positive

return would only be generated over the additional QALY effect. Overall the technology could

produce a QALY effect of 8889 QALYs per year in the AR.

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