Improved wound management at lower costs: A sensible goal for Australia

Norman, Rosana E., Gibb, Michelle, Dyer, Anthony, Prentice, Jennifer, Yelland, Stephen, Cheng, Qinglu, Lazzarini, Peter A., Carville, Keryln, Innes-Walker, Karen, Finlayson, Kathleen J., Edwards, Helen, Burn, Edward, & Graves, Nicholas (2016) Improved wound management at lower costs: A sensible goal for Australia. International Wound Journal, 13(3), pp. 303-316.

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Chronic wounds cost the Australian health system at least US$2·85 billion per year. Wound care services in Australia involve a complex mix of treatment options, health care sectors and funding mechanisms. It is clear that implementation of evidence-based wound care coincides with large health improvements and cost savings, yet the majority of Australians with chronic wounds do not receive evidence-based treatment. High initial treatment costs, inadequate reimbursement, poor financial incentives to invest in optimal care and limitations in clinical skills are major barriers to the adoption of evidence-based wound care. Enhanced education and appropriate financial incentives in primary care will improve uptake of evidence-based practice. Secondary-level wound specialty clinics to fill referral gaps in the community, boosted by appropriate credentialing, will improve access to specialist care. In order to secure funding for better services in a competitive environment, evidence of cost-effectiveness is required. Future effort to generate evidence on the cost-effectiveness of wound management interventions should provide evidence that decision makers find easy to interpret. If this happens, and it will require a large effort of health services research, it could be used to inform future policy and decision-making activities, reduce health care costs and improve patient outcomes.

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ID Code: 93818
Item Type: Journal Article
Refereed: Yes
Keywords: wound, wound management, australia, cost-effectiveness analysis, health economics
DOI: 10.1111/iwj.12538
ISSN: 1742-481X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Public Health and Health Services not elsewhere classified (111799)
Australian and New Zealand Standard Research Classification > ECONOMICS (140000) > APPLIED ECONOMICS (140200) > Health Economics (140208)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: 2015 Inc and John Wiley & Sons Ltd
Deposited On: 17 Mar 2016 03:34
Last Modified: 30 May 2016 03:56

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