Cost-effectiveness of a nurse-led ORIF ankle care programme

Research output: Contribution to conferenceProceeding

Abstract

In response to current outdated models of outpatient fracture care, a nurse-led ankle care protocol was implemented by Glasgow Royal Infirmary’s (GRI) fracture clinic. Its aim was to standardise post- surgery care for Open Reduction Internal Fixation (ORIF) ankle fractures, while maintaining patient reported outcomes. The demand for evaluation across healthcare in the UK is exponentially increasing and although the protocol has been widely accepted throughout the clinic, no evidence existed to confirm its cost-effectiveness. This study fills that gap in knowledge through a thorough cost-evaluation using Discrete Event Simulation (DES), a widely recognised and powerful modelling tool within healthcare evaluation. It was found that the difference between the total number of appointments attended patients between the two groups was not significant (p>0.05). However, results of the cost-modelling clearly show that a 28.12% saving can be achieved when comparing total staffing costs and X-ray costs between the two groups.

Conference

ConferenceBCS Health Informatics Scotland 2016
CountryUnited Kingdom
CityGlasgow
Period11/10/1612/10/16

Fingerprint

Ankle
Cost-Benefit Analysis
Nurses
Costs and Cost Analysis
Ankle Fractures
Delivery of Health Care
Ambulatory Care
Appointments and Schedules
X-Rays

Keywords

  • economic evaluation
  • nurse led clinics
  • open reduction internal fixation of the ankle

Cite this

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title = "Cost-effectiveness of a nurse-led ORIF ankle care programme",
abstract = "In response to current outdated models of outpatient fracture care, a nurse-led ankle care protocol was implemented by Glasgow Royal Infirmary’s (GRI) fracture clinic. Its aim was to standardise post- surgery care for Open Reduction Internal Fixation (ORIF) ankle fractures, while maintaining patient reported outcomes. The demand for evaluation across healthcare in the UK is exponentially increasing and although the protocol has been widely accepted throughout the clinic, no evidence existed to confirm its cost-effectiveness. This study fills that gap in knowledge through a thorough cost-evaluation using Discrete Event Simulation (DES), a widely recognised and powerful modelling tool within healthcare evaluation. It was found that the difference between the total number of appointments attended patients between the two groups was not significant (p>0.05). However, results of the cost-modelling clearly show that a 28.12{\%} saving can be achieved when comparing total staffing costs and X-ray costs between the two groups.",
keywords = "economic evaluation, nurse led clinics, open reduction internal fixation of the ankle",
author = "Martin, {Maria Cristina} and Kerem Akartunali and Anderson, {Gillian Hopkins}",
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doi = "10.14236/ewic/HIS2016.5",
language = "English",
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note = "BCS Health Informatics Scotland 2016 ; Conference date: 11-10-2016 Through 12-10-2016",

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Martin, MC, Akartunali, K & Anderson, GH 2016, 'Cost-effectiveness of a nurse-led ORIF ankle care programme' BCS Health Informatics Scotland 2016, Glasgow, United Kingdom, 11/10/16 - 12/10/16, pp. 1. https://doi.org/10.14236/ewic/HIS2016.5

Cost-effectiveness of a nurse-led ORIF ankle care programme. / Martin, Maria Cristina; Akartunali, Kerem; Anderson, Gillian Hopkins.

2016. 1 BCS Health Informatics Scotland 2016, Glasgow, United Kingdom.

Research output: Contribution to conferenceProceeding

TY - CONF

T1 - Cost-effectiveness of a nurse-led ORIF ankle care programme

AU - Martin, Maria Cristina

AU - Akartunali, Kerem

AU - Anderson, Gillian Hopkins

PY - 2016/10/11

Y1 - 2016/10/11

N2 - In response to current outdated models of outpatient fracture care, a nurse-led ankle care protocol was implemented by Glasgow Royal Infirmary’s (GRI) fracture clinic. Its aim was to standardise post- surgery care for Open Reduction Internal Fixation (ORIF) ankle fractures, while maintaining patient reported outcomes. The demand for evaluation across healthcare in the UK is exponentially increasing and although the protocol has been widely accepted throughout the clinic, no evidence existed to confirm its cost-effectiveness. This study fills that gap in knowledge through a thorough cost-evaluation using Discrete Event Simulation (DES), a widely recognised and powerful modelling tool within healthcare evaluation. It was found that the difference between the total number of appointments attended patients between the two groups was not significant (p>0.05). However, results of the cost-modelling clearly show that a 28.12% saving can be achieved when comparing total staffing costs and X-ray costs between the two groups.

AB - In response to current outdated models of outpatient fracture care, a nurse-led ankle care protocol was implemented by Glasgow Royal Infirmary’s (GRI) fracture clinic. Its aim was to standardise post- surgery care for Open Reduction Internal Fixation (ORIF) ankle fractures, while maintaining patient reported outcomes. The demand for evaluation across healthcare in the UK is exponentially increasing and although the protocol has been widely accepted throughout the clinic, no evidence existed to confirm its cost-effectiveness. This study fills that gap in knowledge through a thorough cost-evaluation using Discrete Event Simulation (DES), a widely recognised and powerful modelling tool within healthcare evaluation. It was found that the difference between the total number of appointments attended patients between the two groups was not significant (p>0.05). However, results of the cost-modelling clearly show that a 28.12% saving can be achieved when comparing total staffing costs and X-ray costs between the two groups.

KW - economic evaluation

KW - nurse led clinics

KW - open reduction internal fixation of the ankle

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