Management in Health, Vol 16, No 1 (2012)

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ANALYSIS STUDY ON THE COST-EFFECTIVENESS OF COMMUNITY NURSING SERVICES IN ASSISTED COMMUNITIES FOR THE YEAR 2010 IN SIBIU COUNTY

Doina MERLA, Marian MATEI

Abstract


The burden of disease can be reduced by different interventions. In order to determine the optimal intervention from a series of alternatives, certain factors must be considered, such as the cost-effectiveness of the intervention.

OBJECT OF THE STUDY: The cost-effectiveness analysis, considering the health benefit due to community nursing specific interventions, by comparing the burden of disease from assisted communities (study sample) with the levels of the burden of disease from unassisted communities (witness sample).

SCOPE OF THE STUDY: Adapting community nursing services to specific health problems identified in each zone and community, on the criteria of cost-effectiveness.

METHOD OF RESEARCH: Method for estimating the years of life lost by premature death, (from the Cost-Effectiveness Analyze model proposed by W.H.O.) on the assisted population. (study sample) and on unassisted population (witness sample) by community personnel in the year 2010, comparing the results obtained on the two strands (survival curve), and estimating the health benefit obtained by community nursing: number of extra years lived, the effectiveness of interventions, (back-adjusting method), costs.

RESULTS AND DISCUSSIONS: In the year 2010 in Sibiu county, community nursing specific interventions were cost-effective, bringing economical advantages by the health gain due to the years of life gained by the population of the community that beneficiated from this type of services (study sample), compared to the population of the other communities (witness sample).

CONCLUSIONS: Community nursing specific interventions are cost-effective.  These interventions can be generalized and can be sustained on the long term with minimum costs, generating important benefits for the entire population. Community nursing specific interventions need to be permanently adapted to the ever changing populations needs by public health management.

 

Keywords: community nursing, burden of disease, cost-effectiveness of services.


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