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Cost analysis of the Wound Expertise Centre at the Isala clinics in Zwolle

Vegt, F. van der (2017) Cost analysis of the Wound Expertise Centre at the Isala clinics in Zwolle.

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Abstract:Introduction: This study focuses on the analysis of costs regarding the treatment of chronic wounds at the Wound Expertise Centre (WEC) at the Isala clinics in Zwolle. A patient’s health care pathway consists of regular appointments at this WEC combined with home care visits by nurses of QualityZorg. We divide the analysed expenses into costs of specialized medical home care [Medisch Specialistische Verpleging in Thuissituatie (MSVT)] and into costs of medical aids [Hulpmiddelen (HLP)] used during home care. Problem description: Treatment of patients with chronic wounds involves enormous costs caused by the time-consuming and complex process of care. The implementation of the WEC in Zwolle is one of the measurements that have been taken to reduce these costs, and to improve efficiency and quality of wound care. We conduct this research to gain insights in the average treatment costs of patients who received wound care at the WEC in the Isala clinics. Approach: We analyse the costs of treatment of the most common types of chronic wounds. Given the skewed data, we use the non-parametric bootstrap method for the calculations of our statistics of interests. For the determination of the composition and size of the bootstrap samples we define four different scenarios. These four scenarios are performed for each type of wound. We create 1000 resamples drawn by random sampling with replacement for the execution of each scenario. We define the following scenarios:  Scenario I: The size of each bootstrap sample is equal to eleven.  Scenario II: The size of each bootstrap sample is equal to ¼ part of the population size of the corresponding type of wound.  Scenario III: The size of each bootstrap sample is equal to the population size of the corresponding type of wound.  Scenario IV: The size of each bootstrap sample is equal to the population size of the corresponding type of wound. The first resample consists of X observations that are drawn by sampling with replacement from the population. Where X defines the total number of patients in this population. The next samples consists of X observations that are drawn from a group composed of the observations of the population plus the previous resamples.
Item Type:Essay (Master)
Clients:
Medisch Spectrum Twente, Nederlands
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:50 technical science in general, 85 business administration, organizational science
Programme:Industrial Engineering and Management MSc (60029)
Link to this item:http://purl.utwente.nl/essays/73340
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