Modelling the economic benefits of gold standard care for chronic wounds in a community setting


Autoria(s): Graves, Nicholas; Finlayson, Kathleen J.; Gibb, Michelle; O'Reilly, Maria T.; Edwards, Helen E.
Data(s)

2014

Resumo

Chronic leg ulcers are costly to manage for health service providers. Although evidence-based care leads to improved healing rates and reduced costs, a significant evidence-practice gap is known to exist. Lack of access to specialist skills in wound care is one reason suggested for this gap. The aim of this study was to model the change to total costs and health outcomes under two versions of health services for patients with leg ulcers: routine health services for community-living patients; and care provided by specialist wound clinics. Mean weekly treatment and health services costs were estimated from participants’ data (n=70) for the twelve months prior to their entry to a study specialist wound clinic, and prospectively for 24 weeks after entry. For the retrospective phase mean weekly costs of care were $AU130.30 (SD $12.64) and these fell to $AU53.32 (SD $6.47) for the prospective phase. Analysis at a population level suggests if 10,000 individuals receive 12 weeks of specialist evidence-based care, the cost savings are likely to be AU$9,238,800. Significant savings could be made by the adoption of evidence-based care such as that provided by the community and outpatient specialist wound clinics in this study.

Formato

application/pdf

Identificador

http://eprints.qut.edu.au/70613/

Publicador

Cambridge Publishing

Relação

http://eprints.qut.edu.au/70613/1/manuscript_costs_WPR_v4_UNf_AcptVers.pdf

Graves, Nicholas, Finlayson, Kathleen J., Gibb, Michelle, O'Reilly, Maria T., & Edwards, Helen E. (2014) Modelling the economic benefits of gold standard care for chronic wounds in a community setting. Wound Practice and Research, 22(3), pp. 163-168.

http://purl.org/au-research/grants/ARC/LP0989625

Direitos

Copyright 2014 Cambridge Publishing

Fonte

Faculty of Health; Institute of Health and Biomedical Innovation; School of Nursing; School of Public Health & Social Work

Palavras-Chave #111000 NURSING #111708 Health and Community Services #economic analysis #costs #chronic leg ulcers #evidence based care
Tipo

Journal Article