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Schlosser-Hupf, Sophie ; Aichner, Elisabeth ; Meier, Marcus ; Albaladejo-Fuertes, Sheila ; Mahnke, Anna ; Ruttmann, Kirstin ; Rusch, Sophia ; Michels, Bernhard ; Mehrl, Alexander ; Kunst, Claudia ; Schmid, Stephan ; Müller, Martina

Cost-effectiveness in an interprofessional training ward within a university department for internal medicine: a monocentric open-label controlled study of the A-STAR Regensburg

Schlosser-Hupf, Sophie, Aichner, Elisabeth, Meier, Marcus, Albaladejo-Fuertes, Sheila, Mahnke, Anna, Ruttmann, Kirstin, Rusch, Sophia, Michels, Bernhard, Mehrl, Alexander, Kunst, Claudia, Schmid, Stephan und Müller, Martina (2024) Cost-effectiveness in an interprofessional training ward within a university department for internal medicine: a monocentric open-label controlled study of the A-STAR Regensburg. Frontiers in Public Health 12.

Veröffentlichungsdatum dieses Volltextes: 12 Sep 2024 13:36
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.59174


Zusammenfassung

Introduction: Interprofessional collaboration in healthcare involves diverse professionals working together to address complex patient needs. Interprofessional training wards offer workplace-based interprofessional education in real healthcare settings, fostering collaborative learning among students. While their educational value is widely recognized, debates persist regarding their ...

Introduction: Interprofessional collaboration in healthcare involves diverse professionals working together to address complex patient needs. Interprofessional training wards offer workplace-based interprofessional education in real healthcare settings, fostering collaborative learning among students. While their educational value is widely recognized, debates persist regarding their cost-effectiveness due to limited research. This study assesses the cost efficiency of the interprofessional training ward Regensburg (A-STAR) within the Department of Internal Medicine I at the University Hospital Regensburg, compared to conventional wards.

Methods: From October 2019 to December 2022, 7,244 patient cases were assigned to A-STAR or conventional wards by case managers, with a comprehensive analysis of all associated revenues and costs.

Results: A-STAR treated 1,482 patients, whereas conventional wards treated 5,752 patients, with more males and younger patients at A-STAR. A-STAR achieved higher profit per case (€1,508.74) attributed to increased revenues and reduced material costs. It generated an average of €1,366.54 more Diagnosis Related Groups (DRG) revenue per case annually than conventional wards, due to greater medical complexity reflected in a higher case-mix index (CMI: 2.4 vs. 2.2). The increased case complexity led to longer patient stays (9.0 vs. 8.1 days) and fewer cases treated annually at A-STAR (27.4 cases/year vs. 37.8 cases/year). The higher CMI did not result in a higher proportion of patients requiring isolation. A-STAR exhibited a higher capacity utilization rate (87.1% vs. 83.9%). Personnel costs per case at A-STAR were initially elevated due to enhanced observation by the senior physician but were gradually mitigated by expanding A-STAR’s bed capacity. Material costs were consistently lower on a per-case basis at A-STAR (€1512.02 vs. €1577.12), particularly in terms of medication expenses, indicating more resource-efficient operations. From the A-STAR graduates, 18 individuals were recruited for permanent positions as doctors or nurses over 2 years.

Conclusion: A-STAR demonstrates economic efficiency and stability even during the COVID-19 pandemic. The substantial personnel acquisition is likely influenced by high levels of satisfaction with education and work and is economically relevant in medical staff shortages. These findings provide a compelling rationale for the broader implementation of interprofessional training wards, establishing them as vital platforms for nurturing future professionals.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftFrontiers in Public Health
Verlag:Frontiers
Band:12
Datum9 August 2024
InstitutionenMedizin > Lehrstuhl für Innere Medizin I
Identifikationsnummer
WertTyp
10.3389/fpubh.2024.1340953DOI
Stichwörter / Keywordsinterprofessional, training ward, cost-effectiveness, economic outcome, cost analysis, interprofessional education, interprofessional collaborative practice, internal medicine
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-591748
Dokumenten-ID59174

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