Does use of point of care testing improve cost effectiveness of the NHS Health Checks programme in the primary care setting? A cost minimisation analysis.
PHE ePoster Library. EL-Osta A. Sep 13, 2017; 186458; 16
Dr. Austen EL-Osta
Dr. Austen EL-Osta
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Abstract
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Abstract Introduction:To determine if use of Point_of_Care_Testing (POCT) is less costly than laboratory testing to the NHS in delivering the NHS Heath Check (NHSHC) in the primary care setting.Method:We collected data on NHSHC delivered at 9 general practices (7 using POCT) and a Pathology Laboratory in same area. We conducted mathematical modelling with permutations in provider type, type of test performed (total cholesterol with lab fasting glucose or HbA1c), consumables costs and variable uptake rates including. We calculated TEC/100-invites, number of NHSHC conducted per 100-invites and costs for completed NHSHC for laboratory and POCT-based pathways. A univariate and probabilistic sensitivity analysis was conducted to account for uncertainty in input parameters.Results:Using POCT to deliver a routine NHSHC is less costly than the laboratory-led pathway with savings of £29/100-invited patients up the point of CVD risk-score presentation. Use of POCT can deliver CVD risk-score in one sitting, whereas the laboratory pathway offers patients several opportunities to exit care pathway.Conclusions:Using POCT to deliver an NHSHC in the primary care setting is less costly than laboratory-led pathway. Using POCT minimizes DNA rates associated with laboratory testing and enables completion of NHSHC in one sitting. External funding details Unconditional funding for this work was provided by Alere International Limited. The Funder did not have a role in study design or analysis. The research was supported by the NIHR Diagnostic Evidence Co-operative (DEC) London & by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North Thames at Bart's Health NHS Trust.
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