University of Twente Student Theses


Cost and benefits of the Diabetic Foot Clinic in Samoa

Wiegman, M. (2016) Cost and benefits of the Diabetic Foot Clinic in Samoa.

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Abstract:In June 2015, a Diabetic Foot Clinic (DFC) has opened in Samoa, Western Pacific. The aim of this study was to compare the costs and benefits of diabetic foot treatments, between the Tupua Tamasese Hospital (TTM) and the DFC in Samoa. A retrospective follow-up study was done, quantitative data about treatments and the costs of treatments were collected from one population in the DFC between June 2015 and May 2016 and from a population treated at the TTM Hospital between June 2013 and June 2015. No ulcers healed during hospital admission. About 70% of the clients had to undergo surgical interventions, the clients were discharged after a mean of 11 admission days and the mean costs per treatment was 7,239 Tala. In the DFC, 50% of the clients achieved healing of their ulcer with a mean healing time of 105 days and mean costs per client were 1,114 Tala. Offloading was used in 70% of the clients and only one client needed to be admitted to the TTM Hospital after all. A cost-analysis showed that the DFC would break-even in costs when a healing rate of minimal 12.6% is achieved.
Item Type:Essay (Bachelor)
Faculty:TNW: Science and Technology
Subject:02 science and culture in general
Programme:Health Sciences BSc (56553)
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