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The cost-effectiveness of prevention strategies for pressure ulcers in long-term care homes in Ontario : projections of the Ontario Pressure Ulcer Model : final report

Author: Toronto Health Economics and Technology Assessment Collaborative.
Publisher: Toronto, Ont. : Toronto Health Economics and Technology Assessment Collaborative, 2009
Series: THETA report, #001.
Edition/Format:   eBook : Document : English
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Genre/Form: Electronic books
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Toronto Health Economics and Technology Assessment Collaborative.
OCLC Number: 632165128
Description: 1 online resource (ix, 86 pages : illustrations).
Contents: Executive summary: Background; Objectives; Methods; Results; Conclusion --
Chapter 1: Introduction. Chapter 2: Natural history model of pressure ulcer: Introduction --
Methods: Model population; Outcome measures; Model structure; Data sources; Model parameters; Model calibration; Model predictions --
Results. Chapter 3: Standard care: Introduction --
Methods --
Results: Size and type of facility; Staffing ratios; Wound care teams; Mattresses; Repositioning programs; Nutritional supplements; Incontinence care; Wound care protocols; Pressure ulcer statistics. Chapter 4: Strategy identification: Introduction --
Methods: Registered nurse time increase --
Results: Strategy 1: Alternative Foam (AF) mattress; Strategy 2: AF mattress and 4-hourly turning/repositioning schedules; Strategy 3: Nutritional supplementation; Strategy 4: Skin care protocols for urinary/fecal incontinence; Strategy 5: Registered nurse time increase. Chapter 5: Costing: Introduction --
Standard care: MDS cohort and risk stratification; Nursing and personal care; Physician visits; Emergency Department (ED) visits; Drug, laboratory and diagnostics; Hospitalizations; Summary --
Strategy 1: Alternative foam mattress: Standard care; Intervention; Resource use and costs --
Strategy 2: Alternative foam mattress and 4-hourly turning/repositioning: Standard care; Intervention; Resource use and costs --
Strategy 3: Nutritional supplementation: Background; Standard care; Supplements currently in use; Intervention; Resource use and costs --
Strategy 4: Skin care protocols for incontinence care: Standard care; Intervention; Resource use and costs --
Strategy 5: Registered nurse time increase: Background; Staffing; Nursing hours per resident per day; Standard care; Intervention; Resource use and costs. Chapter 6: Health-related quality of life: Introduction --
Methods: Setting and population; Data sources; Risk of pressure ulcer --
Results --
Discussion. Chapter 7: Cost-effectiveness and cost-utility analysis: Introduction --
Methods: Perspective; Time horizon; Comparators; Target population; Outcome measures; Model parameters; Utility; Modeling; Analysis; Expected value calculation; One-way sensitivity analysis; Probabalistic sensitivity analysis; Cost-effectiveness acceptability curve --
Results: Health outcome; Costs and cost-effectiveness; Scenario-based sensitivity analysis; Univariate sensitivity analysis; Probabilistic sensitivity analysis --
Summary. Chapter 8: Budget and health impact analysis: Introduction --
Methods: Step 1: Estimate the number of residents in long-term care homes in Ontario; Step 2: Estimate the proportion of LTC residents targeted by each strategy; Step 3: Estimate the implementation budget for each of the prevention strategies; Step 4: Estimate the total cost for each strategy; Step 5: Estimate the total cost in the absence of pressure ulcer for each strategy; Step 6: Estimate the pressure ulcer -related cost for each strategy; Step 7: Estimate the pressure ulcer -related health impact for each strategy --
Results: Health impact analysis; Budget impact analysis. Chapter 9: Discussion --
References --
Appendix A: National Pressure Ulcer Advisory Panel (NPUAP) revised classification of pressure ulcer stage --
Appendix B: Search strategy identifying articles relevant to staffing ratios/time.
Series Title: THETA report, #001.
Responsibility: THETA.
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