Value-Based Healthcare in Ostomies
Ana C Montesinos Gálvez1, Francisco Jódar Sánchez2, Carmen Alcántara Moreno3
1Hospital Regional Universitario de Málaga, 29010-Málaga, Spain.
Summary
An innovative advanced practice nurse model for ostomy care significantly improves patient health status and quality of life. This value-based healthcare approach is highly efficient, offering substantial benefits at a reasonable cost per quality-adjusted life year gained.
Area of Science:
- Healthcare Management
- Nursing Practice
- Health Economics
Background:
- Improving healthcare value requires innovation in service delivery models.
- Ostomy care presents challenges in quality, cost, and accessibility.
- Advanced practice nurses (APNs) can play a key role in optimizing patient management.
Purpose of the Study:
- To evaluate the efficiency of an advanced practice nurse model for ostomy care (APN-O) compared to usual care.
- To assess the impact of the APN-O model on clinical outcomes, resource utilization, and quality of life.
- To determine the economic value and willingness to pay for the APN-O model.
Main Methods:
- Observational, exploratory, analytical, prospective study with six-month follow-up.
- Involved 75 patients with digestive or urinary ostomies across 12 hospitals implementing the APN-O model.
- Analyzed clinical outcomes, healthcare resources, quality of life, and willingness to pay (WTP) from a societal perspective.
Main Results:
- The APN-O model demonstrated a cost difference of €136.99 with a gain of 0.05965 quality-adjusted life years (QALYs), equating to €2297 per QALY gained.
- Mean willingness to pay (WTP) for an APN-O consultation was €69 at six months.
- The APN-O model was found to be highly efficient and contributed to increased value-based healthcare in ostomy management.
Conclusions:
- The advanced practice nurse in ostomy care (APN-O) model is an effective strategy for enhancing patient health status.
- This innovative model increases the value of healthcare for ostomy patients.
- The APN-O model represents a highly efficient approach to ostomy patient management.
Keywords:
cost-benefit analysishealth care costshealth resourcesnurse specialistsorganizational innovationostomyprospective studiesquality-adjusted life yearsMore Related Videos
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