Número de descargas:
11130
Número de visitas:
3035
Citas:
0
Compártelo:
Every medical surgical action implies costs. Costs of medical provisions should be translated into tangible, and thus, measurable, benefits for the health status of the patient. Nutritional support therapies might increase the costs of medical provisions, but it is expected their implementation to result in lower morbidity and mortality rates as well as shortening of hospital stay, all of them leading to important savings. It is then required the assimilation of tools for costs analysis for a better management of nutritional support therapies. A proposal for the design of a hospital system (regarded anywhere in this text as SHACOST) for the analysis of the costs of interventions conducted in a patient in accordance with the guidelines included in the Metabolic, Nutrient and Food Intervention Program (referred everywhere for its Spanish acronym PRINUMA) is presented in this article. Hence, strategies are described to estimate the costs of a specified intervention. In addition, a primer on cost-effectiveness (ACE) and incremental cost-effectiveness (ACEI) analyses is shown relying on examples taken from the authors’s experience in the provision of nutritional care to patients electively operated for a colorectal cancer. Finally, costs of surgical treatment of a mandibular tumor are described, followed by a discussion on how a better impact of the adopted surgical action could be achieved without considerable increases in total costs should a perioperatory nutritional support program be included. Implementation of SHACOST can provide the medical care teams with accounting tools required to assess the effectiveness of hospital nutritional support schemes, decide whether to acquire and introduce new technologies, and measure the impact of the performance of hospital forms for provision of nutritional care upon health management and perceived quality of life of the patient and their relatives.
Palabras Clave: Costs. Economy. Nutritional support. Effectiveness.
María Dolores Ballesteros Pomar , Alfonso Suárez Gutiérrez , Alicia Calleja Fernández , Begoña Pintor de la Maza , Ana Urioste Fondo , Alfonso Vidal-Casariego , Rocío Villar Taibo , Concepción Otero Redondo , Manuel Herrero Moratiel , Isidoro Cano Rodríguez , Juan Luis Burón Llamazares
M.a Teresa Morales-fernández , Pilar Aranda-ramírez , María López-jurado , Juan Llopis-gonzález , Pilar Ruiz-cabello-turmo , María Del Mar Fernández-martínez
Raúl Aguilera-Eguía , Paula Jessica Jorquera Pino , Claudia Jaqueline Salgado , Cherie Flores
Raúl Aguilera-Eguía , Paula Jessica Jorquera Pino , Claudia Jaqueline Salgado , Cherie Flores
Rosa Burgos Peláez , María Nuria Virgili-Casas , Cristina de la Cuerda Compés , José Manuel Moreno Villares , Gabriel Olveira , Luis Miguel Luengo Pérez , Carmina Wanden-Berghe , Álvaro Muñoz Cuadrado , Covadonga Torres González , Miguel Ángel Casado Gómez
Isabel Pardo García , Elisa Amo Saus , Ana Pilar Martínez Valero , Francisco Escribano Sotos
Julia Álvarez-Hernández
Samara Palma Milla , Diego Meneses , Marlhyn Valero-Pérez , Margarita Calso , Matías Ruiz Garrido , Alberto Martín-vega , Carmen Gómez Candela
Raúl Del Pozo Rubio , Pablo Moya-Martínez , Francisco Escribano-sotos , María Elisa Amo Saus
Marcelo Campos Appel-da-Silva , Priccila Zuchinali , Rogério Fleck de Oliveira , Caroline Schardong Boligon , Caroline Riella , Gabriela Soranço Salazar
Julia Álvarez Hernández
Patricia Casas-Agustench , Isabel Megías-Rangil , Nancy Babio
Ana Laranjo , Mariana Brito , Gonçalo Nunes , Carla Adriana Santos , Jorge Fonseca
Fernanda Mellado Peña , Nia S. Mitchell , Bárbara Leyton , Juliana Kain
María Dolores Ballesteros Pomar , Javier Pérez-Martín , Maria J Mendiola , José M García-García , Soledad Parrado-Cuesta , Ángel Manuel Caracuel García , Begoña Garcés , Marta Comellas , Héctor D de Paz , Núria Barcons
Pablo Barcina Pérez , María Teresa Mercader Ros , Oriol Abellán Aynes , José María Cayuela García , Juana Góngora Hervás , Pedro Hernández Jiménez , Carmen Lucas Abellán
Samara Palma Milla
Carolina Luque , Ángel Mataix , Ángel Candela , Nilda Martínez , José Luis Calleja , Rosario Pintor , José Ignacio Botella Carretero , Francisco Arrieta Blanco
Norma Alicia Dórame López , Julián Esparza-Romero
Idoia Iturbe , Edurne Maiz
Carlos Imaz Roncero , Pedro Manuel Ruiz Lázaro , Jesús Pérez Hornero
Danitza Díaz Vargas , Marcell Leonario-Rodríguez
Ángel Martínez González , José Llópiz Castedo , Pedro Rodeiro Escobar , Manuella González Nunes , Bárbara Fernández López , María de los Ángeles García Cardoner , Francisco Javier Fraile Amador , Samuel Rodríguez Zorrilla , María Inmaculada Martínez González , Santiago Enrique Rodeiro Marta
Ángel Martínez González , Manuella González Nunes , José Llópiz Castedo , Pedro Rodeiro Escobar , Joana Isabel Silva Sousa , Julia Rodríguez Pulian , Camila Sieiro Peña , Thalia Chantal Rodríguez Castiñeira
Ante cualquier agresión, el organismo pone en marc...
El paciente crítico presenta una respuesta metaból...