Multidisciplinary approach to psoriasis in the Spanish National Health System: A social return on investment study.

Autor: Carretero, Gregorio, Moreno, David, González-Domínguez, Almudena, Trigos, David, Ledesma, Albert, Sarquella, Esther, Merino, María, Blanch, Carles
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Zdroj: Global & Regional Health Technology Assessment; 2020, Vol. 7 Issue 1, p50-56, 7p
Abstrakt: Introduction: Psoriasis is a chronic disease in which patients feel stigmatization, social rejection, and suffer from low self-esteem. There are still unmet needs that make it necessary to define a new multidisciplinary approach to provide benefits not only to patients and their families but also to the Spanish National Health System (SNHS) and society. The aim was to define a new approach to better address the unmet needs of patients with psoriasis within the SNHS and to measure its impact from a social perspective, that is, in clinical, health care, economic, and social terms. Methods: Multidisciplinary experts identified, agreed on, and selected several health care interventions that were feasible for implementation in the SNHS. This process was carried out in four different areas: diagnosis, mild psoriasis, moderate psoriasis, and severe psoriasis. To estimate investment and social return, the social return on investment (SROI) method was used. Results: The new approach to psoriasis management in the SNHS comprised 18 proposals. The investment needed for the implementation of this new approach would amount to €222.77 million and its return to €1,123.11 million. This would yield a SROI ratio of €5.04 for every euro invested. Conclusion: The new approach to psoriasis management would yield a positive social return. The results will allow optimal strategic planning adapted to each assistance situation, to achieve a comprehensive and multidisciplinary approach. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index