{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T23:54:22Z","timestamp":1725407662721},"reference-count":23,"publisher":"Mark Allen Group","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2006,9]]},"abstract":"Aim:<\/jats:title> To conduct a cost-effectiveness analysis based on data from a randomised controlled trial comparing traditional community home nursing with a community Leg Club model for chronic venous leg ulcer management in the south-east metropolitan area of Queensland, Australia. <\/jats:p><\/jats:sec>Method:<\/jats:title> Participants were randomised to the Leg Club (n=28) or home visits (n=28). Data were obtained on resources\/related costs incurred by the service provider, clients and carers, and the community. <\/jats:p><\/jats:sec>Results:<\/jats:title> From the collective perspective (service provider, clients and carers, and the community), at six months the incremental cost per healed ulcer was $AU515 (\u20a0318) and the incremental cost per reduced pain score was $AU322 (\u20a0199). For the service provider, Leg Club intervention resulted in cost savings and better health effects when compared with home nursing. <\/jats:p><\/jats:sec>Conclusion:<\/jats:title> On both clinical and economic grounds, the Leg Club model appears to be more cost-effective than traditional home nursing for the treatment of chronic venous leg ulcers. However, clients and the local community contribute substantial financial and in-kind support to the operation of both services. <\/jats:p><\/jats:sec>Declaration of interest:<\/jats:title> This project has been supported by a grant from the Queensland Nursing Council, Australia. The views expressed do not necessarily represent the views of the Council or the members, executive officer or staff of the Council. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2006.15.8.26942","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T15:59:20Z","timestamp":1400860760000},"page":"348-353","source":"Crossref","is-referenced-by-count":28,"title":["A cost-effectiveness analysis of two community models of care for patients with venous leg ulcers"],"prefix":"10.12968","volume":"15","author":[{"given":"L.","family":"Gordon","sequence":"first","affiliation":[{"name":"Institute of Health and Biomedical Innnovation School of Nursing, Queensland University of Technology, Brisbane, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Institute of Health and Biomedical Innnovation School of Nursing, Queensland University of Technology, Brisbane, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Courtney","sequence":"additional","affiliation":[{"name":"Institute of Health and Biomedical Innnovation School of Nursing, Queensland University of Technology, Brisbane, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Finlayson","sequence":"additional","affiliation":[{"name":"Institute of Health and Biomedical Innnovation School of Nursing, Queensland University of Technology, Brisbane, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Shuter","sequence":"additional","affiliation":[{"name":"Institute of Health and Biomedical Innnovation School of Nursing, Queensland University of Technology, Brisbane, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Stowmarket, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7452.1358"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.305.6866.1389"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.7748\/ns.12.28.57.s43"},{"key":"p_13","volume-title":"Nurs Health Sci 2000"},{"key":"p_14","doi-asserted-by":"publisher","DOI":"10.1177\/1534734604264864"},{"key":"p_15","first-page":"146","volume":"25","author":"Bosanquet N.","year":"1993","journal-title":"Health Trends"},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2002.11.2.26366"},{"key":"p_17","first-page":"22","volume":"46","author":"Kerstein M.D.","year":"2000","journal-title":"Ostomy Wound Manage"},{"key":"p_18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7143.1487"},{"key":"p_20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-172X.2005.00521.x"},{"key":"p_22","doi-asserted-by":"publisher","DOI":"10.7748\/ns.19.52.47.s58"},{"key":"p_27","volume-title":"Midwifery and Health Visiting","author":"RCN Institute","year":"1998"},{"key":"p_28","volume-title":"Stewart, A., Ware, J.J. (eds). Measuring Function and Well-being: The medical outcomes study approach","author":"Sherbourne C.","year":"1992"},{"key":"p_30","volume-title":"www.wageline. qld.gov.au\/index.html. Accessed","author":"Government","year":"2004"},{"key":"p_32","unstructured":"depreciating assets 2003."},{"key":"p_33","unstructured":"www.ato.gov.au\/businesses\/ content.asp?doc=\/content. Accessed 27 October 2003."},{"key":"p_34","volume-title":"Methods for the Economic Evaluation of Health Care Programmes","author":"Drummond M.F.","year":"1997","edition":"2"},{"key":"p_35","volume-title":"Facts of Private Vehicle Expenses, provided by mechanical and technical services. www.racq.com. au\/03_car\/12_addive.htm. Accessed","author":"Operations Pty","year":"2004"},{"key":"p_36","volume-title":"Unpaid Work and the Australian Economy","author":"Australian Bureau of Statistics.","year":"1997"},{"key":"p_37","volume-title":"The Design and Analysis of Sequential Clinical Trials","author":"Whitehead J.","year":"1997","edition":"2"},{"key":"p_40","unstructured":"The most substantial cost items were tested over a range of low and high estimates around the best estimate used in the base analysis. The base analyses ICERs were $375 (\u20ac232) and $515 (\u20ac318) over 0-3 and 0-6 months respectively. Personnel costs were tested over the low and high salary grade increments within the level 1 domiciliary nursing state award.14Bandages and dressings were tested over 20% variance in actual costs estimated. Variations in annual kilometres estimated for leased vehicles changed leasing costs minimally and were excluded from the sensitivity analysis. Client travel costs were varied according to car size rather than the small car base estimate, and volunteer costs were tested over $0-17 per hour."},{"key":"p_41","unstructured":"For Leg Club, the ICER was smaller than in the base analysis when personnel and bandage costs were at low estimates and if no volunteer expenses were included. Changes in salary increments within the grade 1 staffing level resulted in relatively moderate variations (-$71-169) in the ICER. Smaller changes occurred when client travel expenses varied."},{"key":"p_42","unstructured":"However, if client expenditure on bandages and dressing varied by 20%, a large impact was felt on the ICER for both services, especially home nursing, at 0-6 months. A small change in bandage and dressing costs exerted large price variation for clients as a group. Volunteer in-kind support at the higher estimates substantially increased the ICER to $1415 (\u20ac873) at six months."}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2006.15.8.26942","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T02:51:02Z","timestamp":1653360662000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2006.15.8.26942"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,9]]},"references-count":23,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2006,9]]}},"alternative-id":["10.12968\/jowc.2006.15.8.26942"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2006.15.8.26942","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,9]]}}}