Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/23042
Title: Economic Assessment of a New Model of Care to Support Patients With Cancer Experiencing Cancer- and Treatment-Related Toxicities.
Authors: Shih, Sophy T F;Mellerick, Angela;Akers, Georgina;Whitfield, Kathryn;Moodie, Marj
Affiliation: Ambulatory Cancer Services, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia
Deakin Health Economics, Institute of Health Transformation, Deakin University, Geelong, Victoria, Australia
Health & Wellbeing Division, Department of Health & Human Services, Melbourne, Victoria, Australia
Issue Date: 16-Apr-2020
EDate: 2020-04-16
Citation: JCO oncology practice 2020; online first: 16 April
Abstract: The aim of this economic assessment was to evaluate the impact of a new nurse-led model of care, the Symptom and Urgent Review Clinic (SURC), for patients with cancer experiencing disease- or treatment-related symptoms. An economic assessment was undertaken to estimate costs of the SURC from the service funder perspective and to compare the cost with cost offsets stemming from the implementation of the SURC. The cost offsets focused on the changes in emergency department (ED) presentations and inpatient admissions during a comparable 6-month period before and after the SURC implementation. Costs were analyzed in 2018 Australian dollars, and return on investment was calculated by comparing the cost offsets in the ED and inpatient units with the cost of the SURC. After the implementation of the SURC, patients were less likely to present to the ED (7.2% v 8.5%; P = .01), and patients who did present to the ED were more likely to be admitted to inpatient units (78% v 71%; P = .03) for additional treatment. The post-SURC period had a net cost savings of $37,090 compared with the pre-SURC period. From the service funder perspective, the SURC achieved an investment return of $1.73 for every dollar invested in the new service. Our study establishes the economic credentials of a new care model using empirical linked hospital service data. The SURC presents a new cancer care service for policy consideration from an economic standpoint. It demonstrates an efficient approach to hospital resource allocation to deliver quality cancer care.
URI: http://ahro.austin.org.au/austinjspui/handle/1/23042
DOI: 10.1200/JOP.19.00702
PubMed URL: 32298224
Type: Journal Article
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.