Brain, David, Tulleners, Ruth, Lee, Xing, Cheng, Qinglu, Graves, Nicholas and Pacella, Rosana ORCID: https://orcid.org/0000-0002-9742-1957 (2019) Cost-effectiveness analysis of an innovative model of care for chronic wounds patients. PLoS ONE, 14 (3):e0212366. ISSN 1932-6203 (Online) (doi:10.1371/journal.pone.0212366)

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Abstract

Current provision of services for the care of chronic wounds in Australia is disjointed and costly. There is large variability in the way that services are provided, and little evidence regarding the cost-effectiveness of a specialist model of care for treatment and management. A decision-analytic model to evaluate the cost-effectiveness of a specialist wound care clinic as compared to usual care for chronic wounds is presented. We use retrospective and prospective data from a cohort of patients as well as information from administrative databases and published literature. Our results show specialist wound clinics are cost-effective for the management of chronic wounds. On average, specialist clinics were $3,947 cheaper than usual clinics and resulted in a quality adjusted life year gain of 0.04 per patient, per year. Specialist clinics were the best option under multiple scenarios including a different cost perspective and when the cost of a hospital admission was reduced. Current models of care are inefficient and represent low value care, and specialist wound clinics represent a good investment compared to current approaches for the management of chronic wounds in Australia.

Item Type:	Article
Additional Information:	Copyright: © 2019 Brain et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Uncontrolled Keywords:	chronic wounds, cost-effectiveness analysis
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences
Last Modified:	05 Jun 2020 14:35
URI:	http://gala.gre.ac.uk/id/eprint/25446

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