Cost Analysis of Pressure Ulcers Cases in Acibadem Healthcare Group
Keywords:
Cost, Pressure ulcers, Cost analysis, Acibadem Healthcare Group, TurkeyAbstract
Background: Although the number of pressure ulcer prevention manuals have increased, in the hospitals there can not be seen any visible changes in the cost of pressure ulcer and wound care. According to Agency for Healthcare Research(AHRQ) in the US, pressure ulcer cost ranges $9.1-$11.6 billion per year. In addition to that the cost of individual patient care ranges between 20,900 and 151,700 per case. Regarding the lawsuits every year there have been 17,000 pressure ulcer cases which is seen the second most common lawsuit cases and each year around 60,000 patients die due to the pressure ulcer. Since the table is that much serve, focusing on the prevention cost rather than the standard care cost will provide more benefit to country, hospital, patient and patient’s family and the care provider. Therefore as being Acibadem Healthcare Group, we aimed to calculate the cost of pressure ulcer treatment in one pilot hospital to present the cost effectiveness of the standard care for pressure ulcer.
Objectives: Calculate the cost of treatment of pressure ulcers in Acibadem Healthcare Group hospitals[1].
Method: The cost of treatment of patients developing pressure ulcers in AHG(Acibadem Healthcare Group) in 2012 was calculated at every stage and total cost per patient for the company was calculated. These costs were created in line with the data from patient services pricing department.
Population: All patients developing pressure ulcers in 13 hospitals of Acibadem Healthcare Group in 2012.
Data analysis: Datas regarding the costs are received from the department of patient services for the each item of the prevention steps.
Results: As a result of the cost analysis conducted in AHG, it was established that the cost of nursing care was minimum $13 and maximum $31, and the cost ranges of hospital accommodation (bed & room), wound care products, physician consultation(per visit), surgical intervention, medications, laboratory tests were between $987 and $6.917, $11 and $221, $106 and $146, $158 and $18.533, $66 and $8.826, and $87 and $165 respectively. It was concluded that total cost of pressure ulcers developing in the year 2012 were in the range of $340.077 to $2.452.686.
[1] Acibadem Healthcare Group hospitals located in Turkey, mostly in Istanbul(8 hospitals) and partly outside of Istanbul(7 hospitals).
Acibadem Healthcare Group has a insurance based healthcare system.
Â
References
• Agency for Healthcare Research Quality(2013). Measure Summary. Retrieved from: http://www.qualitymeasures.ahrq.gov/content.aspx?id=38513.
• Agency for Healthcare Research Quality(2013).Are We Ready For This Change- Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care. Retrieved from: http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit/putoolkit.pdf .
• Allman, R. M., Goode, P. S., Patrick, M. M., Burst, N., & Bartolucci, A. A. (January 01, 1995). Pressure ulcer risk factors among hospitalized patients with activity limitation.Jama : the Journal of the American Medical Association, 273, 11, 865-70.
• Ayello EA(2001). Why is pressure risk assessment so important. Nursing2001;75-79.
• Bales, I., & Duvendack, T. (January 01, 2011). Reaching for the moon: achieving zero pressure ulcer prevalence, an update. Journal of Wound Care, 20, 8, 376-7.
• Bennett, R. G., O'Sullivan, J., DeVito, E. M., & Remsburg, R. (January 01, 2000). The increasing medical malpractice risk related to pressure ulcers in the United States.Journal of the American Geriatrics Society, 48, 1, 73-81.
• Bozbas, G. T., & Gurer, G. (January 01, 2011). Current Treatment Approaches in Pressure Ulcers. Sakarya Medical Journal, 1, 4, 118-125.
• Brem, H., Maggi, J., Nierman, D., Rolnitzky, L., Bell, D., Rennert, R., Golinko, M., ... Vladeck, B. (October 01, 2010). High cost of stage IV pressure ulcers. The American Journal of Surgery, 200, 4, 473-477.
• Joint Commission International(2010). Nursing Sensitive Care(NSC) Measures.
• Revis, R., D. (2014). Pressure Ulcers and Wound Care Treatment & Management. Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine.
Downloads
Published
Issue
Section
License
- Papers must be submitted on the understanding that they have not been published elsewhere (except in the form of an abstract or as part of a published lecture, review, or thesis) and are not currently under consideration by another journal published by any other publisher.
- It is also the authors responsibility to ensure that the articles emanating from a particular source are submitted with the necessary approval.
- The authors warrant that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required.
- The authors ensure that all the references carefully and they are accurate in the text as well as in the list of references (and vice versa).
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Attribution-NonCommercial 4.0 International that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.