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

Abstract

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.