Randomized, controlled trials have shown that nurse-led disease management for patients with heart failure can reduce hospitalizations. However, there is less evidence about the cost-effectiveness of these programs. Researchers looked at cost data from a randomized trial of 203 usual care patients versus 203 nurse-managed patients with heart failure. The study consisted mainly of black and Hispanic patients with lower socioeconomic status. Patients in the nurse-managed group maintained better physical functioning throughout the 12-month intervention than did usual care patients. In addition, nurse-led case management was cost-effective (it cost $20,000 per additional year of survival in good health). Researchers concluded that nurse-led disease management was a reasonably cost-effective way to reduce the burden of heart failure in an ethnically diverse urban setting. The results might not apply to patients in other communities.
Heart Failure and Nurse Led Disease Management
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