logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Efficiency and rationality in the planning of health care for people with AIDS : An application of the balance of care approach.

    Article - En anglais

    Objective 

    To demonstrate the application of an approach for assessing efficiency and rationality in the use of resources for the care of patients with AIDS (PWA), using data for north-east Italy.

    Design 

    An economic methodology, the balance of care (BoC) approach, enabled identification of scenarios for the current, planned and recommended provision of care in the study region.

    Methods 

    Data on the supply and utilization of care by PWA across four locations (inpatient care, day care, home care and sheltered accomodation) was collected for a 6-month period during 1994.

    The current BoC measured in care contacts across the locations was compared with a planned BoC scenario, derived from the Italian AIDS Health Plan, and a recommended BoC scenario based on a delphi expert panel judgement of the appropriate care location according to sets of hypothetical clinical and social characteristics of PWA.

    The cost consequences of reallocating patient contacts between the current BoC to the recommended BoC was assessed for inpatient and day care contacts.

    Results 

    There is an overprovision of home care in the planned BoC scenario if applied to the study region.

    The cost consequences of a shift of care contacts according to the recommended scenario results in a potential cost reduction of 9.2% compared with the current scenario, and hence an expected efficiency improvement. (...)

    Mots-clés Pascal : SIDA, Virose, Infection, Traitement, Coût, Italie, Europe, Homme, Efficacité, Planification, Soin, Immunopathologie, Immunodéficit, Economie santé

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Treatment, Costs, Italy, Europe, Human, Efficiency, Planning, Care, Immunopathology, Immune deficiency, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0296105

    Code Inist : 002B06D01. Création : 15/07/1997.