EHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century...
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eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey Pedro Gaspar 1 Josep Monguet 2 Jordi Ojeda 2 João Costa 1 Rogério Costa 1 1 Polytechnic Institute of Leiria (IPL) - Portugal 2 Polytechnic University of Catalonia (UPC) - Spain THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
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Transcript of EHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century...
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Pedro Gaspar1 Josep Monguet2 Jordi Ojeda2
João Costa1 Rogério Costa1
1Polytechnic Institute of Leiria (IPL) - Portugal2Polytechnic University of Catalonia (UPC) - Spain
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Introduction
pre
vale
nc
e &
inci
de
nc
e
eco
no
mic
bu
rden
… 2.3 and 3.1 billion pounds (2005-2006 prices) per year in the UK (Posnett & Franks, 2008)
… 7 billion dollars in the USA, in 2007 (in dressing materials alone) …
… 20 billion if other costs (salaries, hospitalization, infection control…) are taken into consideration (Zaleski, 2008)
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Introduction
diagnosis and treatment
new materials
…
tech
nolo
gica
l
adva
nces
new equipment
evidence based
practice
trai
nin
g
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Introduction
Lifelong Learning Competences Performance
INFORMATION and COMMUNICATION TECHNOLOGIES
HEALTH COSTS
In a context of fast-moving scientific and technological advances, knowledge acquired at school soon becomes outdated (Kokol, 2006).
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
general hypothesis
costs vary according to the training of health professionals involved in the diagnosis and treatment of
chronic wounds.
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Introduction
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Web Based Learning (e-fer)
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Materials and methods
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Mathematical model to estimate the costs of chronic wounds
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Materials and methods
PLPPLFCETCphTChsLCWDCWETTTC Where: TC – Total Costs ETT – Expected Treatment Time (weeks)
APIHrADIHrDIHrWWIHrHTETT
HT - Healing Time WWIHr - Wound Washing Impact in healing rate DIHr - Dressing Impact in healing rate ADIHr - Additional Dressing Impact in healing rate APIHr - Additional Procedure Impact in healing rate DCW – Dressing Costs per Week
DCPDCDCW DCP- Dressing Change periodicity, per week DC- Dressing (materials) Costs, per week LCW –Labour (nursing) Costs per Week
DCPSmobLCLCW 125,0120min
Smob –Mobility status (1 if the patient is autonomous ; 0 if the patient is not autonomous) LCmin – Labour Costs per minute TChs – Travel costs from patient home to Health Service – per week
SmobDCPTChs 4,9
TCph – Travel costs from Health Service to patient home – per week
SmobDCPLCSmobTCph 1min20125,014,46,10
CE – Costs of Equipment for pressure relieving support
PRCErgCPRMCE
PRM – Pressure relieving Mattress ErgC – Ergonomic Chair PRC – Pressure Relieving Cushion PLF – Productivity losses by familiar that support patient.
ETTDCPDPV
PLF 2
DPV – Daily production value PLP – Productivity losses by patient (if the patient is a worker) Age2 – 0 if ? 65 years old 1 if < 65 years old
27 AgeSmobETTDPVPLP
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Materials and methods
PLPPLFCETCphTChsLCWDCWETTTotalCosts
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Materials and methods
PLPPLFCETCphTChsLCWDCWETTTotalCosts
ETT – Expected Treatment Time (weeks)
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Materials and methods
PLPPLFCETCphTChsLCWDCWETTTotalCosts
DCW – Dressing Costs per Week
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Materials and methods
PLPPLFCETCphTChsLCWDCWETTTotalCosts
LCW –Labour (nursing) Costs per Week
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Materials and methods
PLPPLFCETCphTChsLCWDCWETTTotalCosts
TChs – Travel costs from patient home to Health Service – per week
TCph – Travel costs from Health Service to patient home – per week
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Materials and methods
PLPPLFCETCphTChsLCWDCWETTTotalCosts
CE – Costs of Equipment for pressure relieving support
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Materials and methods
PLPPLFCETCphTChsLCWDCWETTTotalCosts
PLF – Productivity losses by familiar that support patient.
PLP – Productivity losses by patient (if the patient is a worker)
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Web Based System (e-fer Simulator)
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Materials and methods
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Optimum Cost matrices
…by applying the mathematical model to the virtual cases validated.
Cost of Decision matrices
…by applying the mathematical model to the options chosen by the users in the e-fer Simulator
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Materials and methods
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Experimental
group
(n=12)
Control
group
(n=12)
Pre-test Post-test
TRAINING
Prevention andTreatment of
ChronicWounds
35h
XData pre-test Data post-test
Time (two weeks)
e-fer Simulator
e-fer Simulator
e-fer Simulator
e-fer Simulator
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Experimental
group
(n=12)
Control
group
(n=12)
Pre-test Post-test
TRAINING
Prevention andTreatment of
ChronicWounds
35h
XData pre-test Data post-test
Time (two weeks)
e-fer Simulator
e-fer Simulator
e-fer Simulator
e-fer Simulator
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Experimental
group
(n=12)
Control
group
(n=12)
Pre-test Post-test
TRAINING
Prevention andTreatment of
ChronicWounds
35h
XData pre-test Data post-test
Time (two weeks)
e-fer Simulator
e-fer Simulator
e-fer Simulator
e-fer Simulator
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Experimental
group
(n=12)
Control
group
(n=12)
Pre-test Post-test
TRAINING
Prevention andTreatment of
ChronicWounds
35h
XData pre-test Data post-test
Time (two weeks)
e-fer Simulator
e-fer Simulator
e-fer Simulator
e-fer Simulator
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Experimental
group
(n=12)
Control
group
(n=12)
Pre-test Post-test
TRAINING
Prevention andTreatment of
ChronicWounds
35h
XData pre-test Data post-test
Time (two weeks)
e-fer Simulator
e-fer Simulator
e-fer Simulator
e-fer Simulator
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results
The results were analysed with the Mann-Whitney and Wilcoxon nonparametric test, with 95% confidence interval.
The results reflect the difference between Optimum Costs and the Costs of Decision observed in the groups.
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results
The groups were homogeneous with regard to the Cost of Decision in the pre-test
(U = 64; p= 0.641)
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results
The groups were homogeneous with regard to the Cost of Decision in the pre-test
0,00 €
2.000,00 €
4.000,00 €
6.000,00 €
8.000,00 €
10.000,00 €
12.000,00 €
14.000,00 €
16.000,00 €
18.000,00 €
20.000,00 €
CMP CSE CDSS CDEdd TCD PSF PSDta TCI CT
1º momento de avaliação 2º momento de avaliação
0,00 €
2.000,00 €
4.000,00 €
6.000,00 €
8.000,00 €
10.000,00 €
12.000,00 €
14.000,00 €
16.000,00 €
18.000,00 €
20.000,00 €
CMP CSE CDSS CDEdd TCD PSF PSDta TCI CT
Control Group
Experimental Group
(U = 64; p= 0.641)
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results
The groups were homogeneous with regard to the Cost of Decision in the pre-test
Control Group
Experimental Group
(U = 64; p= 0.641)To
tal
Co
sts
Pre test
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results
The groups were homogeneous with regard to the Cost of Decision in the pre-test
0,00 €
2.000,00 €
4.000,00 €
6.000,00 €
8.000,00 €
10.000,00 €
12.000,00 €
14.000,00 €
16.000,00 €
18.000,00 €
20.000,00 €
CMP CSE CDSS CDEdd TCD PSF PSDta TCI CT
1º momento de avaliação 2º momento de avaliação
0,00 €
2.000,00 €
4.000,00 €
6.000,00 €
8.000,00 €
10.000,00 €
12.000,00 €
14.000,00 €
16.000,00 €
18.000,00 €
20.000,00 €
CMP CSE CDSS CDEdd TCD PSF PSDta TCI CT
Control Group
Experimental Group
(U = 64; p= 0.641)
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results
The groups were homogeneous with regard to the Cost of Decision in the pre-test
Control Group
Experimental Group
(U = 64; p= 0.641)To
tal
Co
sts
Pre test
Pos test
Pre test
Pos test
Z= -3.059 p= 0.002
Z= -0,314 p= 0.753
Difference between Optimal Costs and Costs of Decision observed in Groups (before and after training)
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results O
pti
mu
m
cost
Co
st
of
de
cis
ion
119.
19%
ab
ove
th
e O
C
Co
st
of
de
cis
ion
58.9
0% a
bo
ve t
he
OC
Control Group
Experimental Group
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results
no
n-t
rain
ing
co
sts
(89
0.0
7 €
for
eac
h w
ou
nd
)
Ind
irec
t co
sts
(428
.08
€)d
irec
t co
sts
(461
.99
€)
(salary losses of the reference family member and/or patient)
(dressing materials) 97.09 €
(patient’s travel expenses ) 171.28 €
(nurse’s salaries and travel expenses) 196.90 €
non-training costs(890.07 € for each wound)
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Results
no
n-t
rain
ing
co
sts
(890
.07
€ fo
r ea
ch w
ou
nd
)
Ind
ire
ct
co
sts
(428
.08
€)
dir
ect
co
sts
(461
.99
€)
(dressing materials) 97.09 €
(patient’s travel expenses ) 171.28 €
(nurse’s salaries and travel expenses) 196.90 €
(salary losses of patient and/or familiar) 428.08 €48%
19%
22%
11%
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
eco
no
mic
bu
rden
Conclusion
How mutch € can we save through
training ?
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Conclusion
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Conclusion
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Conclusion
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Conclusion
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Conclusion
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Conclusion
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Conclusion
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
Conclusion
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment
Construction of Virtual Cases
(Web based tool)
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
Peer review
Diagnosis Decision Treatment Decision
Diagnosis & Treatment Simulator
of Virtual Cases (Web based tool)
EXPERTS TRAINEES
Optimum Cost
Cost of Decision
COSTS OF NON-TRAINING = Cost of decision – Optimum Cost
MATHEMATICAL MODEL FOR COSTS ESTIMATION
TC = CDC+CIC+IC
TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs
eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century
Istanbul, Turkey
Pedro Gaspar1 Josep Monguet2 Jordi Ojeda2
João Costa1 Rogério Costa1
1Polytechnic Institute of Leiria (IPL) - Portugal2Polytechnic University of Catalonia (UPC) - Spain
THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation
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