Abstract
(1) Background: an assessment of the cost-effectiveness of employing an increased number of nurses with higher education from the perspective of the service provider. (2) Methods: Based on a year-long study results and data collected from a large hospital, we conducted of the costs of preventing one death. The study involved intervention by 10% increase in the percentage of nursing care hours provided by nurses with higher education. The measure of health effects was the cost of avoiding one death (CER). The cost-effectiveness analysis (CEA) was used as the evaluation method. (3) Results: The cost of employing a larger percentage of nurses with higher education amounts to a total of amounts to a USD 11,730.62 an increase of 3.02% as compared to the base costs. The estimated number of deaths that could be prevented was 44 deaths. Mortality per 1000 patient days was 9.42, mortality after intervention was 8.41. The cost of preventing one death by the 10% increase in BSN/MSN NCH percentage in non-surgical wards USD 263.92. (4) Conclusions: increasing the percentage of care hours provided by nurses with tertiary education is a cost-effective method of reducing in-hospital mortality.
Highlights
In the management of medical services, more emphasis is placed on optimising the number of personnel in healthcare facilities
The distribution of the level of nursing hours per patient per day (NHPpD) in nonsurgical wards shows the ranges for the analysed hours of nursing care and their frequency for the following four wards—Figure 1
The distribution of the level of nursing hours per patient per day (NHPpD) in non-surgical wards shows the ranges for the analysed hours of nursing care and their frequency for the following four wards—Figure 1
Summary
In the management of medical services, more emphasis is placed on optimising the number of personnel in healthcare facilities. The budgeting of medical services and the multitude of theoretically available possibilities of allocating funds generate the need to use economic analyses to compare various scenarios for selecting the most cost-effective interventions towards the best product for the system, in this case avoiding the endpoint of patient death. Finding the best interventions involves the use of tools and methods appropriate for the health technology assessment (HTA) as per WHO recommendationsWHA67.23 [1,2]. Rutsein explored a new way of examining the quality of medical care and proposed the measure of untimely deaths due to selected causes that are considered avoidable with appropriate treatment, or that could be prevented with medical care [3].
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