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

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dc.contributor.authorO'Mahony, Cian
dc.contributor.authorMurphy, Kevin D.
dc.contributor.authorO'Brien, Gary L.
dc.contributor.authorAherne, Joe
dc.contributor.authorHanan, Terry
dc.contributor.authorMullen, Louise
dc.contributor.authorKeane, Maccon
dc.contributor.authorDonnellan, Paul
dc.contributor.authorDavey, Claire
dc.contributor.authorBrowne, Helen
dc.contributor.authorMalee, Kathleen
dc.contributor.authorByrne, Stephen
dc.contributor.funderHealth Service Executive (HSE), Irelanden
dc.contributor.funderThe Leading Edge Group Ltd., Irelanden
dc.date.accessioned2020-10-21T12:38:27Z
dc.date.available2020-10-21T12:38:27Z
dc.date.issued2020-09-28
dc.date.updated2020-10-16T16:12:35Z
dc.description.abstractPurpose: 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.sponsorshipHealth Service Executive (HSE), Ireland (National Cancer Control Programme (NCCP); the Office for Nursing and Midwifery Service directorate (ONMSD));en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid101842
dc.identifier.citationO'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.2020.101842en
dc.identifier.doi10.1016/j.ejon.2020.101842en
dc.identifier.endpage30en
dc.identifier.issn1462-3889
dc.identifier.journaltitleEuropean Journal of Oncology Nursingen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/10674
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urihttps://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.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectCanceren
dc.subjectCost analysisen
dc.subjectMicro-costingen
dc.subjectCommunity cancer careen
dc.subjectPrimary careen
dc.titleA cost comparison study to review community versus acute hospital models of nursing care delivered to oncology patientsen
dc.typeArticle (peer-reviewed)en
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