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      Cost-effectiveness of a Nurse-led ORIF Ankle Care Programme

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      BCS Health Informatics Scotland (HIS)

      Health Informatics Scotland

      11 & 12 October 2016

      Economic evaluation, Nurse-led clinics, Open Reduction Internal Fixation of the ankle

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          Abstract

          In response to current outdated models of outpatient fracture care, a nurse-led ankle care protocol was implemented by Glasgow Royal Infirmary’s (GRI) fracture clinic. Its aim was to standardise post- surgery care for Open Reduction Internal Fixation (ORIF) ankle fractures, while maintaining patient reported outcomes. The demand for evaluation across healthcare in the UK is exponentially increasing and although the protocol has been widely accepted throughout the clinic, no evidence existed to confirm its cost-effectiveness. This study fills that gap in knowledge through a thorough cost-evaluation using Discrete Event Simulation (DES), a widely recognised and powerful modelling tool within healthcare evaluation. It was found that the difference between the total number of appointments attended patients between the two groups was not significant (p>0.05). However, results of the cost-modelling clearly show that a 28.12% saving can be achieved when comparing total staffing costs and X-ray costs between the two groups.

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          Author and article information

          Contributors
          Conference
          October 2016
          October 2016
          : 1-3
          Affiliations
          University of Strathclyde Computer and Information Sciences
          Article
          10.14236/ewic/HIS2016.5
          © The Authors. Published by BCSProceedings of BCS Health InformaticsScotland 2016 Conference.

          This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

          BCS Health Informatics Scotland
          HIS
          Glasgow, UK
          11 & 12 October 2016
          Electronic Workshops in Computing (eWiC)
          Health Informatics Scotland

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