Cost analysis of mobile radiography services for nursing home residents in Southeast Norway

Journal of Evaluation in Clinical Practice - Tập 25 Số 2 - Trang 275-281 - 2019
Elin Kjelle1, Linn Kleven2, H.M. Olerud1, Hans Olav Melberg2,3
1Department of Optometry, Radiography and Lighting Design, Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway
2Department of Clinical Research Support, Oslo University Hospital, Oslo, Norway
3Department of Health Management and Health Economics, University of Oslo, Oslo, Norway

Tóm tắt

AbstractRationale, aims, and objectiveTelemedicine applications, such as a mobile radiography service, provide a new way of organizing healthcare services. In order to provide safe and personalised care for nursing home residents during X‐ray examinations, mobile radiography services have been implemented. The objective of this study was to analyse the costs of X‐ray examinations and treatments for nursing home residents when comparing hospital‐based imaging with a combination of hospital‐based imaging and a mobile radiography service in Southeast Norway.MethodsA decision model was developed using the software TreeAge Pro. The model included two alternatives: the mobile radiography service in combination with hospital‐based imaging and hospital‐based imaging alone. The treatment needed based on the examination results could be given either in the nursing home or at the hospital. Probabilities and costs in the model were derived from previous research, various reports, and hospital data from the Southeast region of Norway. Monte Carlo simulations of 1000 residents were run through the model, and statistical analyses were applied.ResultsThe analysis showed a mean cost of €2790 per resident for the hospital‐based service alone. For mobile and hospital‐based services combined, the mean cost was €1946 per resident, including examinations and the immediate treatment given. This difference in costs was significant (p < 0.001).ConclusionA mobile radiography service in nursing homes provides a safe, high quality health care service. The result of this study showed there was a 30% cost‐reduction by implementing the mobile radiography service

Từ khóa


Tài liệu tham khảo

European Commission.Together for health: a strategic approach for the EU 2008‐2013. Brussels: EU;2007.http://ec.europa.eu/health/ph_overview/Documents/strategy_wp_en.pdf. Accessed June 6 2018.

European Union.COMMISSION COMMUNICATION—the demographic future of Europe—from challenge to opportunity. Brussels: Commission of the european communities;2006.http://ec.europa.eu/social/BlobServlet?docId=2023&langId=en. Accessed June 6 2018.

10.1016/j.eurger.2012.07.455

Graverholt B, 2013, Acute hospital admissions from nursing homes: predictors of unwarranted variation?, Scand J Caring Sci, 41

10.1186/1472-6963-11-126

Ranhoff AH, 2005, Når skal sykehjemspasienter innlegges i sykehus? [in what situations should nursing home patients be hospitalized?], Tidsskr Nor Legeforen

10.1111/j.1532-5415.2011.03587.x

10.1007/BF02599879

10.1111/j.1471-6712.2004.00266.x

10.1001/archinternmed.2011.336

HektoenLF.Kostnader ved hoftebrudd hos eldre. [costs of hip fractures in the elderly]. Oslo and Akershus University College of Applied Sciences;2014.https://helsedirektoratet.no/Documents/Folkehelsearbeid%20i%20kommunen/Kostnader‐ved‐hoftebrudd‐hos‐eldre.pdf. Accessed May 9 2018.

10.1159/000329452

Lærum F, 2005, Mobil, digital radiografi for sykehjemspasienter [Mobile, digital radiography for nursing home patients], Michael Q, 2, 160

10.4045/tidsskr.16.0035

Hellund JC, 2005, Preliminary evaluation of the quality of the mobile radiographic images, Michel Q, 2, 144

10.1186/s12913-017-2173-8

RingardÅ SaganA Sperre SaunesI LindahlA.Health systems in transition Norway.2013.http://www.euro.who.int/__data/assets/pdf_file/0018/237204/HiT‐Norway.pdf. Accessed May 9 2018

OxmanA BjørndalA FlottorpS LewinS LindahlA.Integrated healt care for people with chronic conditions. Norwegian Knowledge Center for the Health Services2008.https://brage.bibsys.no/xmlui/bitstream/handle/11250/2378094/NOKCnotat_2008_Oxman.pdf?sequence=1&isAllowed=y. Accessed May 10 2018.

10.1186/s12913-018-3115-9

10.1111/jep.12590

PricewaterhouseCoopers.Mobile røntgentjenester til sykehjemmene—En samfunnsøkonomisk analyse [Mobile radiography services to the nursing homes—a socio‐economical analysis].2006.https://docplayer.me/17526345‐Mobile‐rontgentjenester‐til‐sykehjemmene‐en‐samfunnsokonomisk‐analyse.html. Accessed March 5 2018.

Randers J, 2005, Sammenligning av kostnadene ved stasjonær og mobil røntgenundersøkelse av sykehjemspasienter [comparing the costs of stationary and mobile X‐ray examinations of nursing home patients], Michael Q, 2, 151

Lærum F, 2005, Medisinsk service i sykehjem [medical services in nursing homes], Michael Q, 2, 119

The Ministry of Health and Care Services.Forskrift om stønad til dekning av utgifter til undersøkelse og behandling hos lege [Regulation of coverage of expenses for examination and treatment of at physician]. FOR‐2017‐06‐26‐9862017.https://lovdata.no/dokument/LTI/forskrift/2015‐06‐26‐796. Accessed September 13 2017.

VVHF.Kost‐/nytteanalyse av mobil røntgentjeneste i Asker Bærum og Drammensregionen. [Cost‐benefit analysis of mobile X‐ray services in Asker Bærum and the Drammen Region]. Vestre Viken hospital trust.2015.https://www.kommunehelsesamarbeid.no/PROSJEKTER/Mobilt‐rontgen/. Accessed September 13 2017.

10.4414/saez.2010.15144

Statistics Norway.Drosjetransport2016. [Taxi transportation 2016]https://www.ssb.no/statbank/list/drosje. Accessed September 13 2017.

Statistics Norway.Lønn alle ansatte 2016[Salary all employed 2016].https://www.ssb.no/arbeid‐og‐lonn/statistikker/lonnansatt. Accessed September 13 2017.

The Norwegian Directorate of Health. Regelverk ISF 2017: DRG Liste 2017 Somatikk (Vedlegg A1). [Regulation ISF 2017: DRG List Somatic (Appendix A1)].2017.https://helsedirektoratet.no/finansieringsordninger/innsatsstyrt‐finansiering‐isf‐og‐drg‐systemet/innsatsstyrt‐finansiering‐isf#regelverk‐isf‐2017. Accessed October 1 2017.

Gray A, 2011, Applied methods of cost‐effectiveness analysis in health care

10.1017/S0266462311000638

Thông tin
Thông tin xuất bản

Journal of Evaluation in Clinical Practice

Tập 25 Số 2

275-281

Thông tin tác giả