A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery
Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Ament, Stephanie M.C. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
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| Anmerkung: |
© Ament et al.; licensee BioMed Central. 2015 |
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| Übergeordnetes Werk: |
Enthalten in: Implementation science - London : BioMed Central, 2006, 10(2015), 1 vom: 27. Mai |
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| Übergeordnetes Werk: |
volume:10 ; year:2015 ; number:1 ; day:27 ; month:05 |
| Links: |
|---|
| DOI / URN: |
10.1186/s13012-015-0270-9 |
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| Katalog-ID: |
SPR029436079 |
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| 245 | 1 | 2 | |a A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery |
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| 520 | |a Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. Trial registration ISRCTN: ISRCTN77253391 | ||
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| 700 | 1 | |a de Kok, Mascha |4 aut | |
| 700 | 1 | |a van de Velde, Cornelis J.H. |4 aut | |
| 700 | 1 | |a Roukema, Jan A. |4 aut | |
| 700 | 1 | |a Bell, Toine V.R.J. |4 aut | |
| 700 | 1 | |a van der Ent, Fred W. |4 aut | |
| 700 | 1 | |a van der Weijden, Trudy |4 aut | |
| 700 | 1 | |a von Meyenfeldt, Maarten F. |4 aut | |
| 700 | 1 | |a Dirksen, Carmen D. |4 aut | |
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10.1186/s13012-015-0270-9 doi (DE-627)SPR029436079 (SPR)s13012-015-0270-9-e DE-627 ger DE-627 rakwb eng Ament, Stephanie M.C. verfasserin aut A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ament et al.; licensee BioMed Central. 2015 Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. Trial registration ISRCTN: ISRCTN77253391 Implementation Strategy (dpeaa)DE-He213 Implementation Activity (dpeaa)DE-He213 Implementation Project (dpeaa)DE-He213 Hospital Level (dpeaa)DE-He213 Implementation Cost (dpeaa)DE-He213 de Kok, Mascha aut van de Velde, Cornelis J.H. aut Roukema, Jan A. aut Bell, Toine V.R.J. aut van der Ent, Fred W. aut van der Weijden, Trudy aut von Meyenfeldt, Maarten F. aut Dirksen, Carmen D. aut Enthalten in Implementation science London : BioMed Central, 2006 10(2015), 1 vom: 27. Mai (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:10 year:2015 number:1 day:27 month:05 https://dx.doi.org/10.1186/s13012-015-0270-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 1 27 05 |
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10.1186/s13012-015-0270-9 doi (DE-627)SPR029436079 (SPR)s13012-015-0270-9-e DE-627 ger DE-627 rakwb eng Ament, Stephanie M.C. verfasserin aut A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ament et al.; licensee BioMed Central. 2015 Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. Trial registration ISRCTN: ISRCTN77253391 Implementation Strategy (dpeaa)DE-He213 Implementation Activity (dpeaa)DE-He213 Implementation Project (dpeaa)DE-He213 Hospital Level (dpeaa)DE-He213 Implementation Cost (dpeaa)DE-He213 de Kok, Mascha aut van de Velde, Cornelis J.H. aut Roukema, Jan A. aut Bell, Toine V.R.J. aut van der Ent, Fred W. aut van der Weijden, Trudy aut von Meyenfeldt, Maarten F. aut Dirksen, Carmen D. aut Enthalten in Implementation science London : BioMed Central, 2006 10(2015), 1 vom: 27. Mai (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:10 year:2015 number:1 day:27 month:05 https://dx.doi.org/10.1186/s13012-015-0270-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 1 27 05 |
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10.1186/s13012-015-0270-9 doi (DE-627)SPR029436079 (SPR)s13012-015-0270-9-e DE-627 ger DE-627 rakwb eng Ament, Stephanie M.C. verfasserin aut A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ament et al.; licensee BioMed Central. 2015 Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. Trial registration ISRCTN: ISRCTN77253391 Implementation Strategy (dpeaa)DE-He213 Implementation Activity (dpeaa)DE-He213 Implementation Project (dpeaa)DE-He213 Hospital Level (dpeaa)DE-He213 Implementation Cost (dpeaa)DE-He213 de Kok, Mascha aut van de Velde, Cornelis J.H. aut Roukema, Jan A. aut Bell, Toine V.R.J. aut van der Ent, Fred W. aut van der Weijden, Trudy aut von Meyenfeldt, Maarten F. aut Dirksen, Carmen D. aut Enthalten in Implementation science London : BioMed Central, 2006 10(2015), 1 vom: 27. Mai (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:10 year:2015 number:1 day:27 month:05 https://dx.doi.org/10.1186/s13012-015-0270-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 1 27 05 |
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10.1186/s13012-015-0270-9 doi (DE-627)SPR029436079 (SPR)s13012-015-0270-9-e DE-627 ger DE-627 rakwb eng Ament, Stephanie M.C. verfasserin aut A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ament et al.; licensee BioMed Central. 2015 Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. Trial registration ISRCTN: ISRCTN77253391 Implementation Strategy (dpeaa)DE-He213 Implementation Activity (dpeaa)DE-He213 Implementation Project (dpeaa)DE-He213 Hospital Level (dpeaa)DE-He213 Implementation Cost (dpeaa)DE-He213 de Kok, Mascha aut van de Velde, Cornelis J.H. aut Roukema, Jan A. aut Bell, Toine V.R.J. aut van der Ent, Fred W. aut van der Weijden, Trudy aut von Meyenfeldt, Maarten F. aut Dirksen, Carmen D. aut Enthalten in Implementation science London : BioMed Central, 2006 10(2015), 1 vom: 27. Mai (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:10 year:2015 number:1 day:27 month:05 https://dx.doi.org/10.1186/s13012-015-0270-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 1 27 05 |
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10.1186/s13012-015-0270-9 doi (DE-627)SPR029436079 (SPR)s13012-015-0270-9-e DE-627 ger DE-627 rakwb eng Ament, Stephanie M.C. verfasserin aut A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ament et al.; licensee BioMed Central. 2015 Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. Trial registration ISRCTN: ISRCTN77253391 Implementation Strategy (dpeaa)DE-He213 Implementation Activity (dpeaa)DE-He213 Implementation Project (dpeaa)DE-He213 Hospital Level (dpeaa)DE-He213 Implementation Cost (dpeaa)DE-He213 de Kok, Mascha aut van de Velde, Cornelis J.H. aut Roukema, Jan A. aut Bell, Toine V.R.J. aut van der Ent, Fred W. aut van der Weijden, Trudy aut von Meyenfeldt, Maarten F. aut Dirksen, Carmen D. aut Enthalten in Implementation science London : BioMed Central, 2006 10(2015), 1 vom: 27. Mai (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:10 year:2015 number:1 day:27 month:05 https://dx.doi.org/10.1186/s13012-015-0270-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 1 27 05 |
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detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery |
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A detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery |
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Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. Trial registration ISRCTN: ISRCTN77253391 © Ament et al.; licensee BioMed Central. 2015 |
| abstractGer |
Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. Trial registration ISRCTN: ISRCTN77253391 © Ament et al.; licensee BioMed Central. 2015 |
| abstract_unstemmed |
Background Despite the increased attention for assessing the effectiveness of implementation strategies, most implementation studies provide little or no information on its associated costs. The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. Trial registration ISRCTN: ISRCTN77253391 © Ament et al.; licensee BioMed Central. 2015 |
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The focus of the current study was to provide a detailed report of the resource use and costs associated with implementation of a short stay programme for breast cancer surgery in four Dutch hospitals. Methods The analysis was performed alongside a multi-centre implementation study. The process of identification, measurement and valuation of the implementation activities was based on recommendations for the design, analysis and reporting of health technology assessments. A scoring form was developed to prospectively determine the implementation activities at professional and implementation expert level. A time horizon of 5 years was used to calculate the implementation costs per patient. Results Identified activities were consisted of development and execution of the implementation strategy during the implementation project. Total implementation costs over the four hospitals were €83.293. Mean implementation costs, calculated for 660 patients treated over a period of 5 years, were €25 per patient. Subgroup analyses showed that the implementation costs ranged from €3.942 to €32.000 on hospital level. From a local hospital perspective, overall implementation costs were €21 per patient, after exclusion of the costs made by the expert centre. Conclusions We provided a detailed case description of how implementation costs can be determined. Notable differences in implementation costs between hospitals were observed. 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7.397874 |