[Wound treatment in the patient's own home by collaboration between hospital and home care: a health technology assessment]

Futtrup I, Fasterholdt I, Lee A, Kidholm K, Lauridsen JT, Sørensen JL
Record ID 32013000073
Danish
Original Title: Når sygehus og kommune samarbejder om sårbehandling af patienter i eget hjem – en medicinsk teknologivurdering
Authors' objectives: The purpose of this HTA is to evaluate the consequences of wound treatment for frail patients in the patient's own home where the collaboration between hospital and home care is strengthened through direct teaching and supervision in the patient's home.
Authors' recommendations: The overall conclusion is that treatment of pressure wounds in the patient's own home by a wound nurse from the hospital wound centre has same clinical impact on wound healing as treatment in the out-patient clinic. The economic analysis did not show a significant difference in costs between the two groups, but concludes that the intervention from a socio-economic point of view probably is beneficial in the form of reduced use of resources. Moreover, interview studies indicates that patients and relatives profit from the intervention due to less transport of these frail patients as well as strengthened cross-sector collaboration. These circumstances could lead to improved quality of wound treatment as a whole. It has, however, not been possible in this study to document the impact of these factors. Due to the demographic development as well as the growth in the number of people with i.e. diabetes, it is likely that the number of citizens with problematic wounds will grow over the coming years. This is why it is important to reconsider the organisation of wound treatment; not least because of the possibility of patient-related and socioeconomic gains from an optimisation of the treatment.
Details
Project Status: Completed
Year Published: 2011
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Denmark
MeSH Terms
  • Diabetic Foot
  • Foot Ulcer
  • Home Care Services
  • Wound Healing
Contact
Organisation Name: Danish Centre for Evaluation and Health Technology Assessment
Contact Address: National Board of Health, PO Box 1881, Islands Brygge 67, DK-2300 Copenhagen S, Denmark. Tel: 45 72 22 74 48; Fax: 45 72 22 74 07/67
Contact Name: dacehta@sst.dk
Contact Email: dacehta@sst.dk
Copyright: Danish Centre for Evaluation and Health Technology Assessment (DACEHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.