An analysis on personnel costs and working time for implementing a more person-centred care approach: A case study with embedded units in a Swedish region Har passerat
Onsdag 15 maj 2024 10:15 - 10:21 G2
Moderator: Erna Haraldsdottir
Rapportör: Hanna Gyllensten
Spår: Practice-based Implementation and Knowledge Translation
Background/aim: Legislators and health care organisations in Sweden have put person-centred care (PCC) high on the development agenda. However, the knowledge about costs associated with introducing a more PCC is limited and scattered. Overlooking such costs, however, implies that the time added for this implementation is minimal and can be ignored. This study aimed to describe the time and costs used during the implementation of a more PCC approach as part of ordinary practice. Methods: A case study with embedded units was conducted in Region Dalarna, Sweden. Participants included the Department for Development (DD) staff who provided a central support function in the implementation and six healthcare units: nephrology, two geriatric care and rehabilitation units, two psychiatry units, and primary care. Logbooks were used to identify time spent for implementation strategies, service delivery, and research/development costs. Administrative data and mean salaries were used to estimate costs for these activities. Results: The health care units logged on average 5.5 working days per staff member. In the healthcare units, 6-57% of the time reported was used for implementation strategies, 40-90% for service delivery, and 2-12% for research/development. Of the time reported by the DD, 88% was assigned to implementation strategies. Costs associated with reported time indicated 23% of costs for this implementation occurred in the DD. Using the budgeted cost, this proportion increased to 48%. The budget for the DD corresponded to SEK 2.30 per citizen per year and 0.009 % of the total health care budget of the region. Conclusions: The study found that a large part of resources used for this implementation of more PCC occurred in the DD, although at least half of the costs occurred in the healthcare units. Moreover, the cost of the central support function corresponds to a tiny proportion of the total health budget.
Seminarietyp
Förinspelat + På plats
Föreläsningsformat
Orals
Konferens
GCPCC
Authors
Hanna Gyllensten, Malin Tistad, Helena Fridberg, Lars Wallin
Föreläsare
Erna Haraldsdottir Moderator
Professor in Nursing
Queen Margaret University
Professor in Nursing, Deputy Head of Nursing and Director of the Centre for Person-centred Practice Research at Queen Margaret University. Since completing my nursing degree in Iceland, palliative care has been my field of practice and research. I have led on a number of person-centred practice development projects , educational teaching programmes and research projects in palliative care both nationally and internationally. I also serve on a number of development groups in relation to palliative care education and research and have published widely in palliative care research journals.
Hanna Gyllensten Rapportör
Associate professor
University of Gothenburg
About
Hanna is a registered pharmacist with a background in community pharmacy and as a ward pharmacist. She is PhD (Medicine) since 2014 and her thesis was exploring the economic impact of drug-related morbidity, including e.g., adverse drug reactions and sub-therapeutic effects of drug therapy. Hanna is now a senior lecturer at University of Gothenburg, and Associated professor in health care sciences.
She is leading one of the three focus areas within GPCC; directed towards development, adaptation and evaluation of person-centred care. In that role she is responsible for on one of the centers strategic initiatives towards governance for person-centred care, and leads the research group examining health economic aspects of person-centred care.
Research
Hannas research focuses on health economic aspects of, in particular, chronic diseases. Examples are economic evaluations of person-centred interventions in healthcare, based on data collected within clinical trials and complemented by data from national and regional registers. Her other research projects include mainly (register-based) observational research. The studies uses national registers, sometimes complemented by data from population survey or collected from medical records, to study e.g., societal costs resulting from disease.