The resource costs of wound care in Bradford and Airedale primary care trust in the UK
*Health Care Costs
Health Care Surveys
Hospitalization/economics/statistics & numerical data
Wounds and Injuries/*economics/epidemiology/nursing
MetadataShow full item record
AbstractOBJECTIVE: To estimate the resource costs of providing wound care for the 488,000 catchment population of the Bradford and Airedale primary care trust (PCT). METHOD: A wound survey was carried out over a one-week period in March 2007 covering three hospitals in two acute trusts, district nurses, nursing homes and residential homes within the geographical area defined by the PCT. The survey included information on the frequency of dressing change, treatment time and district nurse travel time. The resource costs of wound care in the PCT were estimated by combining this information with representative costs for the UK National Health Service and information on dressing spend. RESULTS: Prevalence of patients with a wound was 3.55 per 1000 population. The majority of wounds were surgical/trauma (48%), leg/foot (28%) and pressure ulcers (21%). Prevalence of wounds among hospital inpatients was 30.7%. Of these, 11.6% were pressure ulcers, of which 66% were hospital-acquired. The attributable cost of wound care in 2006-2007 was pounds 9.89 million: pounds 2.03 million per 100,000 population and 1.44% of the local health-care budget. Costs included pounds 1.69 million spending on dressings, 45.4 full-time nurses (valued at pounds 3.076 million) and 60-61 acute hospital beds (valued at pounds 5.13 million). CONCLUSION: The cost of wound care is significant. The most important components are the costs of wound-related hospitalisation and the opportunity cost of nurse time. The 32% of patients treated in hospital accounted for 63% of total costs. Putting in place care pathways to avoid hospitalisation and avoiding the development of hospital-acquired pressure ulcers and other wound complications are important ways to reduce costs. DECLARATION OF INTEREST: John Posnett is an employee of Smith & Nephew.
CitationVowden, K., Vowden, P. and Posnett, J. (2009) The resource costs of wound care in Bradford and Airedale primary care trust in the UK. J Wound Care, 18 (3), 93-4, 96-8, 100 passim.
Link to publisher’s versionhttp://dx.doi.org/10.12968/jowc.2009.18.3.39814
Showing items related by title, author, creator and subject.
Cambodia's Economic TransformationHughes, Caroline; Un, K. (2011)This is the first book on the transformations wrought by Cambodia's 2002-08 economic boom. It explores the impact of the boom on governance, economic structure, and opportunities for the poor. It provides new insights into the relationship between economic growth and political stability in post-conflict societies. It is a cross-disciplinary study involving Cambodian and foreign scholars. From 2002, Cambodia underwent a visible economic transformation driven largely by such external factors as increased Chinese demand for primary commodities and a strong international demand for Cambodian garments. Apart from dramatic rates of economic growth, the boom involved the disappearance of forests and the decline of logging, the inflow of Chinese investment and the rise of indigenous capital, and the increased significance of remittances from garment workers and labour migrants. In addition, the impact of government policies on land registration and concessions transformed relations of production and, with them, the socio-economic and political environment in rural and urban Cambodia. "Cambodia's Economic Transformation" examines the political economy of the Cambodian boom, analysing the changing structure of the economy, the relationship between state and market, and outcomes for the poor. Not least, it focuses the role of the state in facilitating and controlling the market, and the way that this has affected the life chances of the poor. In so doing, it situates Cambodian experience within key debates in the wider political economy of Eastern Asia, scrutinizing the relationship between class formation, structures of governance and resource distribution.
Crisis in the Eurozone: Causes, Dilemmas and SolutionsBaimbridge, Mark J.; Whyman, P.B. (2015)This book discusses how the global financial crisis induced the 'Great Recession' and triggered problems within the eurozone regarding sovereign debt. It explores the background of the eurozone crisis, as well as outlines a number of potential solutions. The authors argue that the failure of the eurozone to meet any convergence criteria, together with unjustified emphasis placed upon unproven rules and institutions derived from contemporary neoliberal macroeconomic thinking, was an accident waiting to happen. Additionally, a series of potential remedies is proposed, ranging from a critical evaluation of solutions that the EU has already instigated (moral persuasion and financial relief measures), together with a series of alternative propositions (fiscal federalism and a 'European Clearing Union'). Moreover, the analysis is extended to the collapse of the eurozone and to options for national economic self-governance. This study, with its comprehensive analysis of the eurozone crisis, is essential reading for students, researchers and scholars of monetary economics, European economics, political science and international relations.