Value-Based Healthcare in Ostomies
| Autor: | Pilar Jurado Berja, María Paz Bienvenido Ramírez, Mercedes Coca López, Luisa Vázquez Burrero, Carmen Alcántara Moreno, Remedios López Fernández, Antonio J. García Ruiz, Ana C. Montesinos Gálvez, Monserrat Cabrera López, María Antonia Reyes Vico, Antonio J. Pérez Fernández, María Luz Hervas García, Claudia Pérez Jiménez, Raquel Sánchez García, Rosario Garcia, Josefa Martín Cebrián, Nuria García-Agua Soler, Ana Belén Vargas Villegas, F. Sánchez |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male TheoryofComputation_COMPUTATIONBYABSTRACTDEVICES Cost-Benefit Analysis Ostomy Health Toxicology and Mutagenesis lcsh:Medicine Article 03 medical and health sciences Indirect costs 0302 clinical medicine Quality of life (healthcare) Nursing Willingness to pay Health care health care costs Humans ostomy Medicine 030212 general & internal medicine quality-adjusted life years Aged Aged 80 and over Cost–benefit analysis business.industry cost-benefit analysis lcsh:R Public Health Environmental and Occupational Health Middle Aged nurse specialists prospective studies Quality-adjusted life year health resources 030220 oncology & carcinogenesis organizational innovation Economic evaluation Quality of Life Female Observational study Quality-Adjusted Life Years Patient Care business |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 17, Iss 5879, p 5879 (2020) International Journal of Environmental Research and Public Health Volume 17 Issue 16 |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17165879 |
| Popis: | In order to achieve significant improvements in quality, cost, and accessibility (the health &ldquo iron triangle&rdquo ), innovation in organizational and service delivery models is necessary to increase the value of healthcare. The aim of this study is to evaluate the efficiency of a model of organizational innovation based on advanced practice nurse in the care of people with ostomies (APN-O) versus usual care. An observational, exploratory, analytical, prospective study with a six-month follow-up was carried out at 12 hospitals that implemented this model in Andalusia. A total of 75 patients who had undergone a digestive elimination ostomy and/or a urinary ostomy were followed for six months. Clinical outcomes, healthcare resources, health-related quality of life, and willingness to pay (WTP) were analyzed. The economic evaluation was conducted from a societal perspective, including healthcare costs and indirect costs. The cost difference between the two models was &euro 136.99 and the quality-adjusted life year (QALY) gained was 0.05965 (&euro 2297 per QALY gained). At six months, the mean of WTP was &euro 69 per APN-O consultation. This model contributes to increasing the value-based healthcare in ostomies. Results of this study suggested that APN-O is an effective patient management model for improving their health status and is highly efficient. |
| Databáze: | OpenAIRE |
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