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

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.

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Abstract

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.

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ID Code: 70613
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: economic analysis, costs, chronic leg ulcers, evidence based care
ISSN: 1837-6304
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health and Community Services (111708)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Current > Schools > School of Public Health & Social Work
Funding:
Copyright Owner: Copyright 2014 Cambridge Publishing
Deposited On: 29 Apr 2014 23:42
Last Modified: 31 Dec 2014 11:21

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