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A cost-effectiveness analysis of two community models of care for patients with venous leg ulcers

Gordon, Louisa, Edwards, Helen E., Courtney, Mary D., Finlayson, Kathleen J., Shuter, Patricia, & Lindsay, Ellie (2006) A cost-effectiveness analysis of two community models of care for patients with venous leg ulcers. Journal of Wound Care, 15(8), pp. 348-353.

Abstract

Aim: To conduct a cost-effectiveness analysis based on data from a randomised controlled trial comparing a traditional community home nursing with a community Leg Club model for chronic venous leg ulcer management in the south-east metropolitan area of Queensland, Australia. Method: Participants were randomised to the Leg Club (n=28) or home visits (n=28). data were obtained on resources/related costs incurred by the service provider, clients and carers, and the community. Results: From the collective perspective (service provider, clients and carers, and the community), at six months the incremental cost per healed ulcer was $AU 515 (€318) and the incremental cost per reduced pain score was $AU 322 (€199). For the service provider, Leg Club intervention resulted in cost savings and better health effects wehn compared with home nursing. Conclusion: On both clinical and economic grounds, the Leg Club model appears to be more cost-effective than traditional home nursing for the treatment of chronic venous leg ulcers. However, clients and the local community contribute stubstantial financial and in-kind support to the operation of both services.

Impact and interest:

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ID Code: 8775
Item Type: Journal Article
Additional Information: For more information, please refer to the journal’s website (see hypertext link) or contact the author. Author contact details: h.edwards@qut.edu.au
Additional URLs:
Keywords: venous leg ulcers, community management, cost analysis, Leg Club, home nursing
ISSN: 0969-0700
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health and Community Services (111708)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
Divisions: Current > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2006 MA Healthcare Limited
Deposited On: 30 Oct 2007
Last Modified: 29 Feb 2012 23:23

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