THE ECONOMIC IMPACT OF A PULMONARY TELEREHABILITATION PROGRAM FOR COPD IN A ULS IN THE INTERIOR OF PORTUGAL
DOI:
https://doi.org/10.61164/6z6gs146Keywords:
copd; pulmonary telerehabilitation; healthcare costsAbstract
Chronic Obstructive Pulmonary Disease (COPD) is a global public health problem that represents a high cost for health systems and whose most appropriate non-pharmacological treatment is pulmonary rehabilitation. In order to eliminate accessibility barriers to in-person rehabilitation, telerehabilitation programs have emerged and have demonstrated similar benefits to conventional rehabilitation, although it is still necessary to study the cost-effectiveness of this type of program. This study aimed to determine the economic consumption of emergency and hospitalization episodes of patients with acute COPD in a Local Health Unit (ULS) in the interior of Portugal and to demonstrate the potential to reduce this economic consumption through the implementation of a pulmonary telerehabilitation program. In the first phase, a sample of 501 people who had visited the Emergency Department (ED) 905 times due to symptoms compatible with Acute COPD in the seven years under study was analyzed. Of these emergency episodes, 60% ended in hospital discharge and 40% in hospitalization, which corresponded to a total average economic consumption of €862,364.42. Subsequently, when simulating the creation of a telerehabilitation program, it was found that the initial investment with material resources is €4,304.80 and that the total annual cost of human and material resources will be around €31,077.45. By analyzing the results, it was possible to conclude that a pulmonary telerehabilitation program in this ULS would allow health gains for the patient and economic gains for the institution.
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