التفاصيل البيبلوغرافية
| العنوان: |
Value-Based Healthcare in Ostomies |
| المؤلفون: |
Ana C. Montesinos Gálvez, Francisco Jódar Sánchez, Carmen Alcántara Moreno, Antonio J. Pérez Fernández, Rosario Benítez García, Mercedes Coca López, María Paz Bienvenido Ramírez, Monserrat Cabrera López, Luisa Vázquez Burrero, Pilar Jurado Berja, Raquel Sánchez García, Josefa Martín Cebrián, María Luz Hervas García, Remedios López Fernández, Claudia Pérez Jiménez, María Antonia Reyes Vico, Ana Belén Vargas Villegas, Nuria García-Agua Soler, Antonio J. García Ruiz |
| المصدر: |
International Journal of Environmental Research and Public Health; Volume 17; Issue 16; Pages: 5879 |
| بيانات النشر: |
Multidisciplinary Digital Publishing Institute |
| سنة النشر: |
2020 |
| المجموعة: |
MDPI Open Access Publishing |
| مصطلحات موضوعية: |
ostomy, organizational innovation, nurse specialists, quality-adjusted life years, health care costs, cost-benefit analysis, health resources, prospective studies |
| جغرافية الموضوع: |
agris |
| الوصف: |
In order to achieve significant improvements in quality, cost, and accessibility (the health “iron triangle”), 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 €136.99 and the quality-adjusted life year (QALY) gained was 0.05965 (€2297 per QALY gained). At six months, the mean of WTP was €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. |
| نوع الوثيقة: |
text |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| العلاقة: |
Environmental Health; https://dx.doi.org/10.3390/ijerph17165879Test |
| DOI: |
10.3390/ijerph17165879 |
| الإتاحة: |
https://doi.org/10.3390/ijerph17165879Test |
| حقوق: |
https://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: |
edsbas.9464A1F2 |
| قاعدة البيانات: |
BASE |
