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Value-Based Healthcare in Ostomies

Author

Listed:
  • Ana C. Montesinos Gálvez

    (Hospital Regional Universitario de Málaga, 29010-Málaga, Spain)

  • Francisco Jódar Sánchez

    (Faculty of Economics, University of Málaga, 29001-Málaga, Spain)

  • Carmen Alcántara Moreno

    (Hospital Universitario “Virgen de la Victoria”, 29010-Málaga, Spain)

  • Antonio J. Pérez Fernández

    (Hospital de St Ana. Motril, 18600-Granada, Spain)

  • Rosario Benítez García

    (Hospital Universitario de Puerto Real, 11510-Cádiz, Spain)

  • Mercedes Coca López

    (Hospital Universitario “Nuestra Señora de Valme”, 41014-Sevilla, Spain)

  • María Paz Bienvenido Ramírez

    (Hospital Universitario Puerta del Mar, 11009-Cádiz, Spain)

  • Monserrat Cabrera López

    (Hospital de Poniente, El Ejido, 04700-Almería, Spain)

  • Luisa Vázquez Burrero

    (Hospital “Juan Ramón Jiménez”, 21006 Huelva, Spain)

  • Pilar Jurado Berja

    (Complejo Hospitalario de Jaén, 23007-Jaén, Spain)

  • Raquel Sánchez García

    (Hospital de Pozoblanco, 14400-Córdoba, Spain)

  • Josefa Martín Cebrián

    (Hospital Universitario Virgen de la Nieves. 18014-Granada, Spain)

  • María Luz Hervas García

    (Hospital San Agustin (Linares). 23700-Jaén, Spain)

  • Remedios López Fernández

    (Hospital Universitario de Puerto Real, 11510-Cádiz, Spain)

  • Claudia Pérez Jiménez

    (Hospital Costa del Sol, Marbella, 29603-Málaga, Spain)

  • María Antonia Reyes Vico

    (Hospital San Juan de la Cruz (Übeda), 23400-Jaén, Spain)

  • Ana Belén Vargas Villegas

    (Hospital General de Riotinto, 21660-Huelva, Spain)

  • Nuria García-Agua Soler

    (Department of Pharmacology, School of Medicine, University of Málaga, 29010-Málaga, Spain)

  • Antonio J. García Ruiz

    (School of Medicine, University of Málaga, 29010-Málaga, Spain)

Abstract

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.

Suggested Citation

  • 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 Cabr, 2020. "Value-Based Healthcare in Ostomies," IJERPH, MDPI, vol. 17(16), pages 1-15, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5879-:d:398703
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    References listed on IDEAS

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    1. Don Husereau & Michael Drummond & Stavros Petrou & Chris Carswell & David Moher & Dan Greenberg & Federico Augustovski & Andrew Briggs & Josephine Mauskopf & Elizabeth Loder, 2013. "Consolidated Health Economic Evaluation Reporting Standards (CHEERS) Statement," PharmacoEconomics, Springer, vol. 31(5), pages 361-367, May.
    2. Drummond, Michael F. & Sculpher, Mark J. & Torrance, George W. & O'Brien, Bernie J. & Stoddart, Greg L., 2005. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 3, number 9780198529453.
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    Cited by:

    1. Floriana D’Ambrosio & Ciro Pappalardo & Anna Scardigno & Ada Maida & Roberto Ricciardi & Giovanna Elisa Calabrò, 2022. "Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective," IJERPH, MDPI, vol. 20(1), pages 1-19, December.
    2. Domenica Matranga & Filippa Bono & Laura Maniscalco, 2021. "Statistical Advances in Epidemiology and Public Health," IJERPH, MDPI, vol. 18(7), pages 1-5, March.

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