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Enfermería Global
On-line version ISSN 1695-6141
Abstract
ROLDAN-VALCARCEL, Mª Dolores et al. Case management: cost-effectiveness analysis in continuity of patient care of the Complex Chronic Patients Unit. Enferm. glob. [online]. 2023, vol.22, n.72, pp.77-103. Epub Dec 04, 2023. ISSN 1695-6141. https://dx.doi.org/10.6018/eglobal.561651.
Objective:
Evaluate the relationship between the costs associated with the number and days of admission before and after inclusion in the Complex Chronic Patients Unit (CCP).
Methods:
A descriptive cost-effectiveness analysis was performed, with calculation of arithmetic averages and standard deviations; in addition to using the t-Student for paired samples, with the SPSS v20.0 software, for a significance level alpha <0.05. The results of the computation were obtained from the Coding Unit of the patients recruited by the case manager nurse, who survived one year of follow-up by the CCP Unit.
Results:
A total of 132 CCP were recruited, with a total of 563 previous admissions, which were reduced to 204 post inclusion. The average number of admissions of the previous year was 4.27 (SD: 3.35), and it was reduced to 1.55 (SD: 1.74). On the other hand, the number of days of total hospital stay was reduced from 3,835 to 1,897 days, which is equivalent to a difference in estimated cost of 11,165,164.36 euros. The average number of days of admission before was 29.05, and it was reduced to 14.37 days, finding a statistical significance (p< 0.001) between days of admission before and after.
Conclusions:
Inclusion in the CCP Unit guarantees, through the leadership of the case manager nurse, a cost-effective improvement without added expenses, by optimizing already existing interlevel care resources, through the identification of CCP and their priority needs, discharge planning with reports individualized and guaranteeing contact.
Keywords : Case management; Cost efficiency analysis; Holistic nursing; Continuity of patient care; Chronic disease.