RT Journal Article
T1 Value-Based Healthcare in Ostomies.
A1 Montesinos Gálvez, Ana C
A1 Jódar Sánchez, Francisco
A1 Alcántara Moreno, Carmen
A1 Pérez Fernández, Antonio J
A1 Benítez García, Rosario
A1 Coca López, Mercedes
A1 Bienvenido Ramírez, María Paz
A1 Cabrera López, Monserrat
A1 Vázquez Burrero, Luisa
A1 Jurado Berja, Pilar
A1 Sánchez García, Raquel
A1 Cebrián, Josefa Martín
A1 Hervas García, María Luz
A1 López Fernández, Remedios
A1 Pérez Jiménez, Claudia
A1 Reyes Vico, María Antonia
A1 Vargas Villegas, Ana Belén
A1 García-Agua Soler, Nuria
A1 García Ruiz, Antonio J
K1 cost-benefit analysis
K1 health care costs
K1 health resources
K1 nurse specialists
K1 organizational innovation
K1 ostomy
K1 prospective studies
K1 quality-adjusted life years
AB 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.
YR 2020
FD 2020-08-13
LK http://hdl.handle.net/10668/16124
UL http://hdl.handle.net/10668/16124
LA en
DS RISalud
RD Apr 13, 2025