Identifying incremental costs for successive generations of implantable cardiac pacemakers

Allen A. Hughes

doi:10.1117/12.195486

6 December 1994 Identifying incremental costs for successive generations of implantable cardiac pacemakers

Allen A. Hughes

Proceedings Volume 2307, Health Care Technology Policy I: The Role of Technology in the Cost of Health Care; (1994) https://doi.org/10.1117/12.195486
Event: The Role of Technology in the Cost of Health Care, 1994, Arlington, VA, United States

Abstract

This paper provides an assessment of the incremental expected costs of increasingly sophisticated generations of cardiac pacemaker technology. A decision analytic framework is used to calculate expected costs of pacemaker therapy over a five-year period, taking into account failure rate estimates for the various generations, device replacement costs, hospital fees, physician's fees, follow-up care, and patient lost time in follow-up care. For five years of pacing therapy, the incremental cost difference between nonprogrammable and multiprogrammable is $1887; between multiprogrammable and dual-chamber is $3321; and between dual-chamber and dual-chamber rate-responsive is $676. Incremental benefits were found extremely difficult to quantify, monetarize, or translate to a scale for comparison with costs. However, medical literature indicates a decreasing level of risk for mortality and morbidity, owing to increased hemodynamic benefits from the more recent generations of high technology pacemakers.

Citation Download Citation

Allen A. Hughes "Identifying incremental costs for successive generations of implantable cardiac pacemakers", Proc. SPIE 2307, Health Care Technology Policy I: The Role of Technology in the Cost of Health Care, (6 December 1994); https://doi.org/10.1117/12.195486

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