BUDGETARY IMPACT ANALYSIS OF THE NUTRITIONAL HOME CARE SERVICE
Author(s)
Nuñez J1, Diaz R2, Aldea F2, Hidalgo A3, Belda C4
1Fundacion de Investigacion HM Hospitales, Madrid, Spain, 2Fundacion de Investigacion HM Hospitales, madrid, Spain, 3University of Castilla-La Mancha, Toledo, Spain, 4HM Hospitales, madrid, Spain
OBJECTIVES: The aim of the study was to analyze the SNS budget impact of domiciliary administration of parenteral nutrition. METHODS: A retrospective digestive surgery patient cohort was analyzed. The variable costs associated with all reported cases that required parenteral nutrition have been extracted to estimate the hospital stay cost per patient. The group of patients susceptible to receiving the Nutritional Home Care Service (NHCS) has been estimated through a comparison of the hospital stay of patients who required parenteral nutrition versus the average hospitalization days of each Diagnostic Related Group (DRG) published by the Spanish National Health System (SNS). The budgetary impact of incorporating the nutritional assistance service outside the hospital setting has been estimated by calculating the daily cost and hospitalization days in which the patient could have received domiciliary parenteral nutrition care. The budgetary impact in the SNS has been estimated using a Markov model processed in 15,000 Monte Carlo simulations for the whole Spanish population, through the probability distributions of the variables: variable cost of the PN and Cost of stay, patients receiving PN, patients likely to receive NHCS (study population) and number of surgical procedures performed in the SNS in digestive surgery. RESULTS: The initial cohort was composed of who required an average 10.26 days of hospitalization with parenteral nutrition consumption in 2015. The study population was estimated at around 120 patients. The health insurers that finance private health care would see savings in the private sector of 36,535.30€. In the National Health System, the budgetary impact would be estimated at a saving of 1,834,965.31 €. CONCLUSIONS: The Nutritional Home Care Service would reduce healthcare expenditure and lengthy hospital stays.
Conference/Value in Health Info
2017-11, ISPOR Europe 2017, Glasgow, Scotland
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PGI8
Topic
Economic Evaluation
Topic Subcategory
Budget Impact Analysis
Disease
Gastrointestinal Disorders