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Methods Of Healthcare Delivery System01:26

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Health Information Technology (HIT)
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Digital Versus Paper-Based Consent from the UK NHS Perspective: A Micro-costing Analysis.

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  • 1QC Medica, Liverpool, UK.

Pharmacoeconomics - Open
|November 5, 2024
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Summary

Digital consent pathways are more cost-effective than paper-based methods in the UK National Health Service (NHS). Implementing digital consent can lead to significant savings, particularly for elective procedures, by reducing administrative burdens and potential litigation costs.

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Area of Science:

  • Health Economics
  • Clinical Informatics
  • Patient Safety

Background:

  • Paper-based consent processes in the UK National Health Service (NHS) are prone to errors, missing information, and poor patient understanding.
  • Limited research exists on the comparative costs and implications of adopting digital consent pathways.
  • Digital consent offers potential solutions to the limitations of traditional paper consent forms.

Purpose of the Study:

  • To compare the relative costs of digital consent pathways versus paper-based consent pathways within the UK National Health Service (NHS).

Main Methods:

  • A micro-costing study was performed from the UK NHS perspective.
  • Multi-stakeholder input informed the understanding of paper-based consent variations across departments and settings.
  • Sensitivity and scenario analyses identified key cost drivers, including consent timing and hospital digital readiness.

Main Results:

  • Paper consent forms cost approximately £0.90 more per episode than digital consent.
  • Elimination of paper form ordering, printing, and transportation contributes to digital consent's cost-effectiveness.
  • Consultation duration significantly impacts the relative costs of both consent pathways.
  • Preventing one litigation claim could save an average of £201,590.

Conclusions:

  • Digital consent presents a potential cost-saving opportunity for the NHS.
  • Digital consent is most effective when used for elective procedures prior to the day of surgery, maximizing savings.
  • Further research should focus on consultation duration as a key factor influencing consent pathway costs.