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Review
. 2023 Oct;65(4):735-754.
doi: 10.1016/j.amepre.2023.04.013. Epub 2023 Apr 28.

Economics of Team-Based Care for Blood Pressure Control: Updated Community Guide Systematic Review

Verughese Jacob  1 , Jeffrey A Reynolds  2 , Sajal K Chattopadhyay  2 , Keith Nowak  3 , David P Hopkins  2 , Erika Fulmer  4 , Ami N Bhatt  5 , Nicole L Therrien  4 , Alison E Cuellar  6 , Thomas E Kottke  7 , John M Clymer  8 , Kimberly J Rask  9 ; Community Preventive Services Task Force
Affiliations
Review

Economics of Team-Based Care for Blood Pressure Control: Updated Community Guide Systematic Review

Verughese Jacob et al. Am J Prev Med. 2023 Oct.

Abstract

Introduction: This paper examined the recent evidence from economic evaluations of team-based care for controlling high blood pressure.

Methods: The search covered studies published from January 2011 through January 2021 and was limited to those based in the U.S. and other high-income countries. This yielded 35 studies: 23 based in the U.S. and 12 based in other high-income countries. Analyses were conducted from May 2021 through February 2023. All monetary values reported are in 2020 U.S. dollars.

Results: The median intervention cost per patient per year was $438 for U.S. studies and $299 for all studies. The median change in healthcare cost per patient per year after the intervention was -$140 for both U.S. studies and for all studies. The median net cost per patient per year was $439 for U.S. studies and $133 for all studies. The median cost per quality-adjusted life year gained was $12,897 for U.S. studies and $15,202 for all studies, which are below a conservative benchmark of $50,000 for cost-effectiveness.

Discussion: Intervention cost and net cost were higher in the U.S. than in other high-income countries. Healthcare cost averted did not exceed intervention cost in most studies. The evidence shows that team-based care for blood pressure control is cost-effective, reaffirming the favorable cost-effectiveness conclusion reached in the 2015 systematic review.

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