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Table 3 Cost utility analysis MAS CP vs. UC CP. Effectiveness measured as QALY

From: A cost utility analysis alongside a cluster-randomised trial evaluating a minor ailment service compared to usual care in community pharmacy

 

Total Costb

Cost Diff (mean)

QALYb

QALY Diff

ICER (€/QALY)

Probability of cost effectiveness

WTP 20,000€

WTP 25,000€

WTP 30.000

All sample

Multiple imputation (base case)

  UC CPa

10.68

 

0.0246

     

  MAS CPa

17.19

6.51

0.0247

0.0003

19,325

52.39%

66.45%

75.36%

Complete Cases

  UC CPa

12.61

 

0.0245

     

  MAS CPa

20.03

7.42

0.0248

0.0003

24,733

36.19%

47.40%

60.10%

Subgroup with symptom presentation

Multiple imputation (base case for subgroup analysis)

  UC CPa

10.35

 

0.0245

     

  MAS CP*

19.48

9.13

0.0247

0.0002

42,322

14.09%

23.92%

33.15%

Complete Cases

  UC CPa

12.59

 

0.0245

     

  MAS CPa

22.97

10.45

0.0248

0.0002

48,126

11.20%

17.39%

24.40%

Subgroup with direct product request

Multiple imputation (base case for subgroup analysis)

  UC CPa

11.59

 

0.0242

     

  MAS CPa

11.90

0.31

0.0248

0.0006

523

96.83%

97.32%

97.58%

Complete Cases

  UC CP*

14.25

 

0.0247

     

  MAS CPa

13.54

−0.71

0.0249

0.0006

Dominant

92.60%

93.69%

94.49%

  1. aUC CP Usual Care Community Pharmacy, MAS CP Minor Ailment Service Community Pharmacy
  2. bAdjusted by patient’s age and gender, minor ailment, symptom duration and QALY at baseline (first consultation in CP and other consultations such as GP or ED visits during the 10 days studied were considered)