SciELO - Scientific Electronic Library Online

 
vol.22 número72Características sociodemográficas, hábitos de vida y condiciones de salud de las personas privadas de libertadConcepciones y prácticas de autocuidado de adolescentes: registros cualitativos en diarios personales índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Enfermería Global

versión On-line ISSN 1695-6141

Resumen

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 04-Dic-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.

Palabras clave : Case management; Cost efficiency analysis; Holistic nursing; Continuity of patient care; Chronic disease.

        · resumen en Español     · texto en Español | Inglés     · Español ( pdf ) | Inglés ( pdf )