University of Twente Student Theses
Enhancing self-management for chronic care patients : experiences with venous phlebotomy, expectations of and willingness to use a new home blood-sampling device and its impact on societal costs
Wiese, E.D. (2020) Enhancing self-management for chronic care patients : experiences with venous phlebotomy, expectations of and willingness to use a new home blood-sampling device and its impact on societal costs.
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| Abstract: | Introduction: Diabetes mellitus, cardiovascular diseases, chronic kidney disease or thyroid diseases are four chronic diseases which require regular monitoring by performing blood tests. Venipuncture is an invasive procedure that can cause pain and anxiety. Frequent blood-sampling especially causes discomfort and inconvenience and may thereby negatively affect daily life. Besides these facts, frequent blood-sampling results in high societal costs. Hem-Col is a microtube to store blood after a finger prick which makes self-management possible. Phlebotomy self-management by using Hem-Col may result in cost-reduction and better healthcare outcomes. Aim: To investigate experiences of chronic care patients with venipuncture, their expectations of and willingness to use Hem-Col as home blood-sampling device and the impact on societal costs when Hem-Col is implemented. Methods: An online survey was distributed among patients with diabetes mellitus, cardiovascular diseases, chronic kidney disease and thyroid diseases. A patient-level simulation model was developed to represent a hypothetical cohort of these chronically ill patients in the Dutch population. Results: In total, 1313 patients participated in the survey of which 31% experience the time spent on the phlebotomy appointment as a burden, 32% indicate that phlebotomy appointments affects their daily schedule, 12% experience anxiety and 46% experience physical inconveniences. Long waiting times and crowded phlebotomy locations are the most important factors for dissatisfaction with phlebotomy locations. Of all respondents, 71% prefer to use Hem-Col to monitor their chronic disease. The costs are expected to decrease with €76 per patient per year. Discussion: Blood-sampling with Hem-Col is considered more user-friendly compared with venous phlebotomy at location. Long waiting times and crowded phlebotomy locations can be avoided when patients have the possibility to use Hem-Col. Implementing Hem-Col for the purpose of monitoring chronic diseases is likely cost-saving as it is expected to reduce societal costs. |
| Item Type: | Essay (Master) |
| Faculty: | TNW: Science and Technology |
| Subject: | 44 medicine, 83 economics |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/81858 |
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