Journal article
National cost savings from an ambulatory program for low-risk febrile neutropenia patients in Australia
M Tew, D Forster, BW Teh, K Dalziel
Australian Health Review | CSIRO PUBLISHING | Published : 2019
DOI: 10.1071/AH19061
Abstract
Objective: The management of low-risk febrile neutropenia (FN) patients through ambulatory programs has demonstrated comparative safety and effectiveness to in-patient strategies. However, there is limited evidence of benefits of changing practice, particularly on a national scale. The aim of this study was to estimate costs and benefits of the program over a 10-year time horizon. Methods: A comparative cost analysis from a health system perspective was performed, comparing costs and length of stay (LOS) of patients enrolled in an ambulatory program to a historical cohort who did not receive the program. Generalised linear models were used for analysis and bootstrapped to account for uncerta..
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Funding Acknowledgements
The authors acknowledge and thank Yew Sok-Wee for her assistance with the administrative cost data. The authors thank the Independent Hospital Pricing Authority for making national-level data (used to inform the modelled predictions of the studied protocol) readily available. Michelle Tew is jointly supported by the National Health and Medical Research Council of Australia-funded Centre for Research Excellence in Total Joint Replacement (1116325) and Centre for Improving Cancer Outcomes Through Enhanced Infection Services (1116876) and a Melbourne Research Scholarship. This work did not receive any direct funding.