Abstract
Introduction. Pressure ulcer management represents a growing
problem for medical and social health care systems all over the
world, particularly in European Union countries where the incidence
of pressure ulcers in older persons (> 60 years of age) is
predicted to rise.
Objectives. The aim of this study was to provide evidence for the
lower impact on economic resources of using advanced dressings
for the treatment of pressure ulcers with respect to conventional
simple dressings.
Methods. Two different models of analysis, derived from Activity
Based Costing and Health Technology Assessment, were used to
measure, over a 30-day period, the direct costs incurred by pressure
ulcer treatment for community-residing patients receiving
integrated home care.
Results. Although the mean cost per home care visit was higher in
the advanced dressings patient group than in the simple dressings
patient one (? 22.31 versus ? 16.03), analysis of the data revealed
that the cost of using advanced dressings was lower due to fewer
home care visits (22 versus 11).
Conclusion. The results underline the fact that decision-makers need
to improve their understanding of the advantages of taking a long-term
view with regards to the purchase and use of materials. This could produce
considerable savings of resources in addition to improving treatment
efficacy for the benefit of patients and the health care system.
