A cost‐effectiveness study of a patient‐centred integrated care pathway

Olsson, Lars-Eric; Hanssoń, Elisabeth; Ekman, Inger; Karlsson, Jón

doi:10.1111/j.1365-2648.2009.05017.x

Cited by 112 publications

(122 citation statements)

References 26 publications

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“…Early research was hampered by poorly defined terms, small scale studies or a reliance on qualitative research methods and is of limited empirical value (Slater, 2006). In a recent systematic review of the evidence (Brownie and Nancarrow, 2013), person-centred care is reported to have a positive impact on staff job satisfaction (Lehuluante et al, 2012), staff capacity to meet the needs of patients (Brownie and Nancarrow, 2013), cost effectiveness (Olsson et al, 2009), better levels of staff autonomy and empowerment (Williams et al, 2007). For patients, significant improvements are reported in physical outcomes and reduction in boredom (Brownie and Nancarrow, 2013).…”

Section: Study Backgroundmentioning

confidence: 99%

The Relationship Between Positive Patient Experience in Acute Hospitals and Person-Centred Care

Parlour¹,

Slater²,

McCormack³

et al. 2014

International Journal of Research in Nursing

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Internationally, person-centred care has become a central tenet of many health and social care related policies and strategies. However, few studies exist that explicitly examine the linkage between patients' perceptions of a person-centred care climate and patients' experiences of care. This has been hampered by a dearth of instruments with acceptable psychometric properties. The aim of this study is to examine the relationship between patients' perceptions of person-centredness and their experiences of care. A cross sectional survey design was used to purposively sample (n = 345, 57.5%) patients from across 10 acute hospitals settings in Ireland. The data was collected Feb 2013-May 2013. Standardised instruments were used to measure patients' perceptions of person-centredness and their experiences of care. Questionnaire packs were distributed to a sample of patients based on predetermined inclusion criteria. Completed questionnaires were returned in a sealed envelope. The instruments were psychometrically tested prior to full analysis of the results. Ethical approval was granted by Research Ethics Committees in all participating hospitals. The psychometric properties of both instruments were determined as satisfactory. There was a moderate positive and significant relationship between patients' perceptions of a person-centred climate and patient experiences. Patients who perceived care as being more personcentred also reported a more positive patient experience. The emergence of new instruments designed to measure patients' perceptions of person-centredness and patient experiences have been shown to have acceptable psychometric properties. This study demonstrates clear linkage between patients' experiences of care and the key indicators of person-centred care.

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Section: Study Backgroundmentioning

confidence: 99%

The Relationship Between Positive Patient Experience in Acute Hospitals and Person-Centred Care

Parlour¹,

Slater²,

McCormack³

et al. 2014

International Journal of Research in Nursing

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“…Implementation costs, costs due to increased ICU admissions, and the presence of consultant surgeons and consultant anaesthetists may increase the hospital expenditure costs for survivors and lead to increased hospital costs. This problem is further aggravated by the current UK National Health Service (NHS) reimbursement scheme, which not only incurs a significant shortfall for emergency laparotomy9 10 but also, owing to a lack of long‐term outcomes and cost‐effectiveness studies, often ignores potential long‐term cost savings for society.…”

Section: Introductionmentioning

confidence: 99%

Cost‐effectiveness of a quality improvement bundle for emergency laparotomy

Ebm¹,

Aggarwal

Huddart

et al. 2018

BJS Open

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BackgroundThe recent Emergency Laparotomy Pathway Quality Improvement Care (ELPQuiC) study showed that the use of a specific care bundle reduced mortality in patients undergoing emergency laparotomy. However, the costs of implementation of the ELPQuiC bundle remain unknown. The aim of this study was to assess the in‐hospital and societal costs of implementing the ELPQuiC bundle.MethodsThe ELPQuiC study employed a before–after approach using quality improvement methodology. To assess the costs and cost‐effectiveness of the bundle, two models were constructed: a short‐term model to assess in‐hospital costs and a long‐term model (societal decision tree) to evaluate the patient's lifetime costs (in euros).ResultsUsing health economic modelling and data collected from the ELPQuiC study, estimated costs for initial implementation of the ELPQuiC bundle were €30 026·11 (range 1794·64–40 784·06) per hospital. In‐hospital costs per patient were estimated at €14 817·24 for standard (non‐care bundle) treatment versus €15 971·24 for the ELPQuiC bundle treatment. Taking a societal perspective, lifetime costs of the patient in the standard group were €23 058·87, compared with €19 102·37 for patients receiving the ELPQuiC bundle. The increased life expectancy of 4 months for patients treated with the ELPQuiC bundle was associated with cost savings of €11 410·38 per quality‐adjusted life‐year saved.ConclusionImplementation of the ELPQuiC bundle is associated with lower mortality and higher in‐hospital costs but reduced societal costs.

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“…Patient-centredness is a core component of costeffective high-quality care [138]. Non-adherence is accompanied with increased impaired health outcomes, services utilisation and costs.…”

Section: Adherence To Interventions and Health Literacymentioning

confidence: 99%