Value-Based Healthcare in Ostomies
-
Autor
Montesinos-Gálvez, Ana Carmen; Jódar-Sánchez, Francisco
; Alcántara Moreno, Carmen; Pérez Fernández, Antonio J.; Benítez García, Rosario; Coca López, Mercedes; Bienvenido Ramírez, María Paz; Cabrera López, Monserrat; Vázquez Burrero, Luisa; Jurado Berja, Pilar; Sánchez García, Raquel; Martín Cebrián, Josefa; Hervas García, María Luz; López Fernández, Remedios; Pérez Jiménez, Claudia; Reyes Vico, María Antonia; Vargas Villegas, Ana Belén; García-Agua-Soler, Nuria
; García-Ruiz, Antonio J.
-
Fecha
2020-08-13 -
Editorial/Editor
MDPI -
Palabras clave
Salud; Enfermería quirúrgica -
Resumen
In order to achieve significant improvements in quality, cost, and accessibility (the health "iron triangle"), innovation in organizational and service delivery models is necessary to increase the value of healthcare. The aim of this study is to evaluate the efficiency of a model of organizational innovation based on advanced practice nurse in the care of people with ostomies (APN-O) versus usual care. An observational, exploratory, analytical, prospective study with a six-month follow-up was carried out at 12 hospitals that implemented this model in Andalusia. A total of 75 patients who had undergone a digestive elimination ostomy and/or a urinary ostomy were followed for six months. Clinical outcomes, healthcare resources, health-related quality of life, and willingness to pay (WTP) were analyzed. The economic evaluation was conducted from a societal perspective, including healthcare costs and indirect costs. The cost difference between the two models was €136.99 and the quality-adjusted life year (QALY) gained was 0.05965 (€2297 per QALY gained). At six months, the mean of WTP was €69 per APN-O consultation. This model contributes to increasing the value-based healthcare in ostomies. Results of this study suggested that APN-O is an effective patient management model for improving their health status and is highly efficient. -
Ficheros
Colecciones
Estadísticas
Ítems relacionados
Mostrando ítems relacionados por Título, autor o materia.
-
An intragenic duplication within SIRPβ1 shows a dual effect over Alzheimer’s disease cognitive decline altering the microglial response.
García-Alberca, JM; de Rojas, I; Sanchez-Mejias, E; Garrido-Martín, D; Gonzalez-Palma, L; Jimenez, S; Pino-Angeles, A; Cruz-Gamero, JM; Mendoza, S; Alarcón-Martín, E; Muñoz-Castro, C; Real, LM; Tena, JJ; Polvillo, R; Govantes, F; Lopez, A; Royo-Aguado, JL; Navarro, V; Gonzalez, I; Ruiz, M; Reyes-Engel, A; Gris, E; Bravo, MJ; Lopez-Gutierrez, L; Mejias-Ortega, M; De la Guía, P; López de la Rica, M; Ocejo, O; Torrecilla, J; Zafra, C; Nieto, MD; Urbano, C; Jiménez-Sánchez, R; Pareja, N; Luque, M; García-Peralta, M; Carrillejo, R; Furniet, MDC; Rueda, L; Sánchez-Fernández, A; Mancilla, T; Peña, I; García-Casares, N; Moreno-Grau, S; Hernández, I; Montrreal, L; Quintela, I; González-Pérez, A; Calero, M; Franco-Macías, E; Macías, J; Menéndez-González, M; Frank-García, A; Huerto Vilas, R; Diez-Fairen, M; Lage, C; García-Madrona, S; García-González, P; Valero, S; Sotolongo-Grau, O; Pérez-Cordón, A; Rábano, A; Arias Pastor, A; Pastor, AB; Espinosa, A; Corma-Gómez, A; Martín Montes, A; Sanabria, A; Martínez Rodríguez, C; Buiza-Rueda, D; Rodriguez-Rodriguez, E; Ortega, G; Alvarez, I; Rosas Allende, I; Pineda, JA; Rosende-Roca, M; Bernal Sánchez-Arjona, M; Fernández-Fuertes, M; Alegret, M; Roberto, N; Del Ser, T; Garcia-Ribas, G; Sánchez-Juan, P; Pastor, P; Piñol-Ripoll, G; Bullido, MJ; Álvarez, V; Mir, P; Medina, M; Marquié, M; Sáez, ME; Carracedo, A; Laplana, M; Tomas-Gallardo, L; Orellana, A; Tárraga, LL; Boada, M; Fibla Palazon, J; Vitorica, J; Ruiz, A; Guigo, R; Gutierrez, A; Royo-Sánchez-Palencia, José Luis[et al.] (SAGE, 2024)
Microglia play an important role in the maintenance of brain homeostasis, and microglial dysfunction plays a causative role in Alzheimer disease pathogenesis. Here we focus on the signal regulatory protein SIRPβ1, a surface ... -
Rich oleocanthal and oleacein extra virgin olive oil and inflammatory and antioxidant status in people with obesity and prediabetes. The APRIL study: A randomised, controlled crossover study
Ruiz-García, Ignacio; Ortiz-Flores, Rodolfo; Badía, Rocío; García-Borrego, Aranzazu; García-Fernández, María Inmaculada; Lara, Estrella; Martín-Montañez, Elisa
; García Serrano, Sara; Valdés, Sergio; Gonzalo, Montserrat; Tapia Guerrero, María José; Fernández-García, José Carlos
; Sánchez-García, Alicia; Muñoz-Cobos, Francisca; Calderón-Cid, Miguel; El-Bekay, Rajaa; Covas, María-Isabel; Rojo-Martínez, Gemma; Olveira-Fuster, Gabriel María
; Romero-Zerbo, Silvana Yanina
; Bermúdez Silva, Francisco Javier[et al.] (Elsevier, 2023)
Background: Oleocanthal and oleacein are olive oil phenolic compounds with well known anti inflammatory and anti-oxidant properties. The main evidence, however, is provided by experimental studies. Few human studies have ... -
The genomic history of the Iberian peninsula over the past 8000 years.
Olalde, Íñigo; Swapan, Mallick; Patterson, Nick; Rohland, Nadin; Villalba-Mouco, Vanessa; Silva, Marina; Dulias, Katharina; Edwards, Ceiridwen J.; Gandini, Francesca; Pala, Maria; Soares, Pedro; Ferrando-Bernal, Manuel; Adamski, Nicole; Broomandkhoshbacht, Nasreen; Cheronet, Olivia; Culleton, Brendan J.; Fernandes, Daniel; Lawson, Ann Marie; Mah, Matthew; Oppenheimer, Jonas; Stewardson, Kristin; Zhang, Zhao; Jiménez Arenas, Juan Manuel; Toro Moyano, Isidro Jorge; Salazar-García, Domingo C.; Castanyer, Pere; Santos, Marta; Tremoleda, Joaquim; Lozano, Marina; García Borja, Pablo; Fernández-Eraso, Javier; Mujika-Alustiza, José Antonio; Barroso Ruíz, Cecilio; Bermúdez, Francisco J.; Viguera-Mínguez, Enrique; Burch, Josep; Coromina, Neus; Vivó, David; Cebriá, Artur; Fullola, Josep Maria; García-Puchol, Oreto; Morales, Juan Ignacio; Oms, F. Xavier; Majó, Tona; Vergés, Josep Maria; Díaz-Carvajal, Antonia; Ollich-Castanyer, lmma; López-Cachero, F. Javier; Silva, Ana Maria; Alonso-Fernández, Carmen; Delibes de Castro, Germán; Jiménez Echevarría, Javier; Moreno-Márquez, Adolfo; Pascual Berlanga, Guillermo; Ramos-García, Pablo; Ramos Muñoz, José; Vijande Vila, Eduardo; Aguilella Arzo, Gustau; Esparza Arroyo, Ángel; Lillios, Katina T.; Mack, Jennifer; Velasco-Vázquez, Javier; Waterman, Anna; Benítez de Lugo Enrich, Luis; Benito Sánchez, María; Agustí, Bibiana; Codina, Ferran; De Prado, Gabriel; Estalrrich, Almudena; Fernández Flores, Álvaro; Finlayson, Clive; Finlayson, Geraldine; Finlayson, Stewart; Giles-Guzmán, Francisco; Rosas, Antonio; Barciela González, Virginia; García Atiénzar, Gabriel; Hernández Pérez, Mauro S.; Llanos, Armando; Carrión Marco, Yolanda; Blasco, Concepción; Liesau, Corina; Ríos, Patricia; Daura, Joan; De Pedro Michó, María Jesús; Díez-Castillo, Agustín A.; Flores Fernández, Raúl; Francés Farré, Joan; Garrido-Pena, Rafael; Goncalves, Víctor S.; Guerra-Doce, Elisa; Herrero-Corral, Ana Mercedes; Juan-Cabanilles, Joaquim; López-Reyes, Daniel; McClure, Sarah B.; Merino Pérez, Marta; Oliver Foix, Arturo; Sanz Borras, Montserrat; Sousa, Ana Catarina; Vidal Encinas, Julio Manuel; Kennett, Douglas J.; Richards, Martín B.; Werner Alt, Kurt; Haak, Wolfgang; Pinhasi, Ron; Lalueza Fox, Carles; Reich, David[et al.] (2019)
The lberian Península provides an excellent context in which to assess the final impact of population movements entering the European continent from the east as well as prehistoric and historie connections with North ...