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Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality

Author

Listed:
  • Beata Wieczorek-Wójcik

    (Department of Nursing and Medical Rescue, Pomeranian University in Slupsk, Westerplatte Street 64, 76-200 Slupsk, Poland)

  • Aleksandra Gaworska-Krzemińska

    (Institute of Nursing and Midwifery, Medical University of Gdansk, M. Sklodowskiej-Curie Street 3a, 80-227 Gdansk, Poland)

  • Piotr Szynkiewicz

    (Department of Management and Logistics in Healthcare, Medical University of Lodz, Kosciuszki Street 4, 90-131 Lodz, Poland)

  • Michał Wójcik

    (Rehazentrum Walenstadtberg, Chnoblisbüel 1, CH-8881 Walenstadtberg, Switzerland)

  • Monika Orzechowska

    (Rehazentrum Walenstadtberg, Chnoblisbüel 1, CH-8881 Walenstadtberg, Switzerland)

  • Dorota Kilańska

    (Department of Coordinated Care, Medical University of Lodz, Kościuszki Street 4, 90-131 Lodz, Poland)

Abstract

(1) Background: an assessment of the cost-effectiveness of employing an increased number of nurses with higher education from the perspective of the service provider. (2) Methods: Based on a year-long study results and data collected from a large hospital, we conducted of the costs of preventing one death. The study involved intervention by 10% increase in the percentage of nursing care hours provided by nurses with higher education. The measure of health effects was the cost of avoiding one death (CER). The cost-effectiveness analysis (CEA) was used as the evaluation method. (3) Results: The cost of employing a larger percentage of nurses with higher education amounts to a total of amounts to a USD 11,730.62 an increase of 3.02% as compared to the base costs. The estimated number of deaths that could be prevented was 44 deaths. Mortality per 1000 patient days was 9.42, mortality after intervention was 8.41. The cost of preventing one death by the 10% increase in BSN/MSN NCH percentage in non-surgical wards USD 263.92. (4) Conclusions: increasing the percentage of care hours provided by nurses with tertiary education is a cost-effective method of reducing in-hospital mortality.

Suggested Citation

  • Beata Wieczorek-Wójcik & Aleksandra Gaworska-Krzemińska & Piotr Szynkiewicz & Michał Wójcik & Monika Orzechowska & Dorota Kilańska, 2022. "Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality," IJERPH, MDPI, vol. 19(2), pages 1-15, January.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:996-:d:726310
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    References listed on IDEAS

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    1. Nolte, Ellen & McKee, Martin, 2011. "Variations in amenable mortality—Trends in 16 high-income nations," Health Policy, Elsevier, vol. 103(1), pages 47-52.
    2. Jacqueline J Suijker & Janet L MacNeil-Vroomen & Marjon van Rijn & Bianca M Buurman & Sophia E de Rooij & Eric P Moll van Charante & Judith E Bosmans, 2017. "Cost-effectiveness of nurse-led multifactorial care to prevent or postpone new disabilities in community-living older people: Results of a cluster randomized trial," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-16, April.
    3. Ana María Porcel-Gálvez & Sergio Barrientos-Trigo & Eugenia Gil-García & Olivia Aguilera-Castillo & Antonio Juan Pérez-Fernández & Elena Fernández-García, 2020. "Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study," IJERPH, MDPI, vol. 17(21), pages 1-10, October.
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    1. Beata Wieczorek-Wójcik & Aleksandra Gaworska-Krzemińska & Aleksander Owczarek & Michał Wójcik & Monika Orzechowska & Dorota Kilańska, 2022. "The Influence of Nurse Education Level on Hospital Readmissions—A Cost-Effectiveness Analysis," IJERPH, MDPI, vol. 19(7), pages 1-15, March.

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