A cost-effectiveness analysis of two community models of care for patients with venous leg ulcers

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Author(s)
Gordon, L.
Edwards, H.
Courtney, M.
Finlayson, K.
Shuter, P.
Lindsay, E.
Griffith University Author(s)
Year published
2006
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Aim: To conduct a cost-effectiveness analysis based on data from a randomised controlled trial comparing a traditional community home nursing with a community Leg Club model for chronic venous leg ulcer management in the south-east metropolitan area of Queensland, Australia. Method: Participants were randomised to the Leg Club (n=28) or home visits (n=28). data were obtained on resources/related costs incurred by the service provider, clients and carers, and the community. Results: From the collective perspective (service provider, clients and carers, and the community), at six months the incremental cost per healed ulcer ...
View more >Aim: To conduct a cost-effectiveness analysis based on data from a randomised controlled trial comparing a traditional community home nursing with a community Leg Club model for chronic venous leg ulcer management in the south-east metropolitan area of Queensland, Australia. Method: Participants were randomised to the Leg Club (n=28) or home visits (n=28). data were obtained on resources/related costs incurred by the service provider, clients and carers, and the community. Results: From the collective perspective (service provider, clients and carers, and the community), at six months the incremental cost per healed ulcer was $AU 515 (ೱ8) and the incremental cost per reduced pain score was $AU 322 (౹9). For the service provider, Leg Club intervention resulted in cost savings and better health effects when compared with home nursing. Conclusion: On both clinical and economic grounds, the Leg Club model appears to be more cost-effective than traditional home nursing for the treatment of chronic venous leg ulcers. However, clients and the local community contribute substantial financial and in-kind support to the operation of both services.
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View more >Aim: To conduct a cost-effectiveness analysis based on data from a randomised controlled trial comparing a traditional community home nursing with a community Leg Club model for chronic venous leg ulcer management in the south-east metropolitan area of Queensland, Australia. Method: Participants were randomised to the Leg Club (n=28) or home visits (n=28). data were obtained on resources/related costs incurred by the service provider, clients and carers, and the community. Results: From the collective perspective (service provider, clients and carers, and the community), at six months the incremental cost per healed ulcer was $AU 515 (ೱ8) and the incremental cost per reduced pain score was $AU 322 (౹9). For the service provider, Leg Club intervention resulted in cost savings and better health effects when compared with home nursing. Conclusion: On both clinical and economic grounds, the Leg Club model appears to be more cost-effective than traditional home nursing for the treatment of chronic venous leg ulcers. However, clients and the local community contribute substantial financial and in-kind support to the operation of both services.
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Journal Title
Journal of Wound Care
Volume
15
Issue
8
Copyright Statement
© 2006 MA Healthcare. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Subject
Medical and Health Sciences not elsewhere classified
Nursing