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A Cost-Effective Analysis of Motivational Interviewing with Palliative Care Versus Usual Care: Results from the Living Well Project.

Little is known about the impact of early palliative care (EPC) combined with motivational interviewing (MI) for persons living with AIDS (PWA). We compared the cost and quality-adjusted life-years (QALYs) of EPC + MI (n = 61) versus usual care (UC) (n = 60) for patients with AIDS, not on antiretrov...

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Published in:AIDS & Behavior Vol. 27; no. 4; pp. 1259 - 1269
Main Authors: Phillips, Victoria, Quest, Tammie E., Higgins, Melinda, Marconi, Vincent C., Balthazar, Monique S., Holstad, Marcia
Format: research tables/charts Journal Article
Published: Springer Nature Apr2023
Online Access:View this record in EBSCOhost
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      dt: Apr2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10461-022-03862-8
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        atl: A Cost-Effective Analysis of Motivational Interviewing with Palliative Care Versus Usual Care: Results from the Living Well Project.
      aug:
        au:
          Phillips, Victoria
          Quest, Tammie E.
          Higgins, Melinda
          Marconi, Vincent C.
          Balthazar, Monique S.
          Holstad, Marcia
        affil: Department of Health Policy and Management, Rollins School of Public Health of Emory University, Atlanta, Georgia
      sug:
        subj:
          Cost Effectiveness Analysis
          Motivational Interviewing
          Palliative Care
          Patient Care
          HIV-Positive Persons
          Health Care Costs
          Quality-Adjusted Life Years
          Early Intervention
          Human
          Self Report
          Confidence Intervals
          Quality of Life
          Office Visits
          Emergency Service
          Funding Source
      ab: Little is known about the impact of early palliative care (EPC) combined with motivational interviewing (MI) for persons living with AIDS (PWA). We compared the cost and quality-adjusted life-years (QALYs) of EPC + MI (n = 61) versus usual care (UC) (n = 60) for patients with AIDS, not on antiretroviral medications, enrolled into the Living Well Project trial. Data on clinic, emergency department, and hospital visits were collected through self-report and billing records. Risk-adjusted average annual health care costs were estimated using a generalized linear model with a gamma log-link function. QALYs were calculated using the SF-12v2. Cost-effectiveness was defined as cost per QALY gained. Estimated intervention costs were $165 per participant. EPC + MI reduced costs by 33% (AOR = 0.67; CI 95%: 0.15, 0.93). QALYs did not differ between groups. Results suggest EPC + MI for PWA is cost-saving and maintains quality of life compared to UC due to reduced hospital and ED costs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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