A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery.

Autor: Ament SM; Department of Family Medicine, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, P.O. box 616, 6200, MD, Maastricht, The Netherlands. stephanie.ament@maastrichtuniversity.nl.; Department of Clinical Epidemiology and Medical Technology Assessment (KEMTA), Maastricht University Medical Centre, P.O. box 5800, 6202, AZ, Maastricht, The Netherlands. stephanie.ament@maastrichtuniversity.nl., de Kok M; General Practice centre 'Het Anker', Seringenstraat 259, 3142, NV, Maassluis, The Netherlands. maschadekok@hotmail.com., van de Velde CJ; Department of Surgery, Leiden University Medical Centre, P.O. box 9600, 2033, RC, Leiden, The Netherlands. C.J.H.van_de_Velde@lumc.nl., Roukema JA; Department of Surgery, St. Elisabeth Hospital, P.O. box 90151, 5000, LC, Tilburg, The Netherlands. a.roukema@elisabeth.nl., Bell TV; Department of Surgery, Laurentius Hospital, P.O. box 920, 6040, AX, Roermond, The Netherlands. a.bell@lzr.nl., van der Ent FW; Department of Surgery, Orbis Medical Centre, P.O. box 5500, 6130, MB, Sittard-Geleen, The Netherlands. Fredvanderent@gmail.com., van der Weijden T; Department of Family Medicine, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, P.O. box 616, 6200, MD, Maastricht, The Netherlands. trudy.vanderweijden@maastrichtuniversity.nl., von Meyenfeldt MF; Department of Surgery, Maastricht University Medical Centre, P.O. box 5800, 6202, AZ, Maastricht, The Netherlands. mf.vonmeyenfeldt@maastrichtuniversity.nl., Dirksen CD; Department of Family Medicine, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, P.O. box 616, 6200, MD, Maastricht, The Netherlands. c.dirksen@mumc.nl.; Department of Clinical Epidemiology and Medical Technology Assessment (KEMTA), Maastricht University Medical Centre, P.O. box 5800, 6202, AZ, Maastricht, The Netherlands. c.dirksen@mumc.nl.
Jazyk: angličtina
Zdroj: Implementation science : IS [Implement Sci] 2015 May 27; Vol. 10, pp. 78. Date of Electronic Publication: 2015 May 27.
DOI: 10.1186/s13012-015-0270-9
Abstrakt: Background: Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals.
Methods: The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient.
Results: Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre.
Conclusions: We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed.
Isrctn: ISRCTN77253391.
Databáze: MEDLINE
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