A cost comparison study to review community versus acute hospital models of nursing care delivered to oncology patients

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dc.contributor.author O'Mahony, Cian
dc.contributor.author Murphy, Kevin D.
dc.contributor.author O'Brien, Gary L.
dc.contributor.author Aherne, Joe
dc.contributor.author Hanan, Terry
dc.contributor.author Mullen, Louise
dc.contributor.author Keane, Maccon
dc.contributor.author Donnellan, Paul
dc.contributor.author Davey, Claire
dc.contributor.author Browne, Helen
dc.contributor.author Malee, Kathleen
dc.contributor.author Byrne, Stephen
dc.date.accessioned 2020-10-21T12:38:27Z
dc.date.available 2020-10-21T12:38:27Z
dc.date.issued 2020-09-28
dc.identifier.citation O'Mahony, C., Murphy, K. D., O'Brien, G. L., Aherne, J., Hanan, T., Mullen, L., Keane, M., Donnellan, P., Davey, C., Browne, H., Malee, K. and Byrne, S. (2020) 'A cost comparison study to review community versus acute hospital models of nursing care delivered to oncology patients', European Journal of Oncology Nursing, 101842 (8pp), doi: 10.1016/j.ejon.2020.101842 en
dc.identifier.startpage 1 en
dc.identifier.endpage 30 en
dc.identifier.issn 1462-3889
dc.identifier.uri http://hdl.handle.net/10468/10674
dc.identifier.doi 10.1016/j.ejon.2020.101842 en
dc.description.abstract Purpose: Ireland's Sláintecare health plan is placing an increased focus on primary care. A community oncology nursing programme was developed to train community nurses to deliver care in the community. While the initial pilot was proven to be clinically safe, no cost evaluation was carried out. This study aims to compare the costs of providing cancer support services in a day-ward versus in the community. Methods: 183 interventions (40 in day-ward and 143 in community) were timed and costed using healthcare professional salaries and the Human Capital method. Results: From the healthcare provider perspective, the day-ward was a significantly cheaper option by an average of €17.13 (95% CI €13.72 - €20.54, p < 0.001). From the societal perspective, the community option was cheaper by an average of €2.77 (95% CI -€3.02 – €8.55), although this was a non-significant finding. Sensitivity analyses indicate that the community service may be significantly cheaper from the societal perspective. Conclusions: Given the demand for cost-viable options for primary care services, this programme may represent a national option for cancer care in Ireland when viewed from the societal perspective. en
dc.description.sponsorship Health Service Executive (HSE), Ireland (National Cancer Control Programme (NCCP); the Office for Nursing and Midwifery Service directorate (ONMSD)); en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Elsevier en
dc.relation.uri https://www.sciencedirect.com/science/article/pii/S1462388920301228
dc.rights © 2020, the Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/) en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Cancer en
dc.subject Cost analysis en
dc.subject Micro-costing en
dc.subject Community cancer care en
dc.subject Primary care en
dc.title A cost comparison study to review community versus acute hospital models of nursing care delivered to oncology patients en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Kevin Murphy, School of Pharmacy, University College Cork, Cork, Ireland. +353-21-490-3000 Email: kevin.murphy@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2020-10-16T16:12:35Z
dc.description.version Accepted Version en
dc.internal.rssid 540454187
dc.internal.rssid 550240714
dc.contributor.funder Health Service Executive (HSE), Ireland en
dc.contributor.funder The Leading Edge Group Ltd., Ireland en
dc.description.status Peer reviewed en
dc.identifier.journaltitle European Journal of Oncology Nursing en
dc.internal.copyrightchecked Yes
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress kevin.murphy@ucc.ie en
dc.internal.IRISemailaddress cian_omahony@ucc.ie en
dc.internal.IRISemailaddress stephen.byrne@ucc.ie en
dc.identifier.articleid 101842


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© 2020, the Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/) Except where otherwise noted, this item's license is described as © 2020, the Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/)
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