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  1. The efficiency of specialist outreach clinics in general practice : is further evaluation needed ?

    Article - En anglais

    Objectives 

    To assess the need for further evaluation of general practice-based outreach clinics in two specialties using data from a UK pilot study to model their cost-effectiveness.

    Methods 

    A pilot study was undertaken comparing one outreach and one outpatient clinic held by three dermatology specialists and three orthopaedic specialists.

    Information was collected on waiting times, costs to patients, casemix and resource use.

    Results 

    Only dermatology outreach clinic patients experienced significantly shorter waiting times for first appointments than their hospital counterparts.

    Outreach clinic patients incurred lower costs in attending appointments in either specialty but the differences were not statistically significant.

    Evidence of a difference in casemix between patients attending outreach and outpatient clinics meant that treatment costs incurred in both types of a difference in casemix between patients attending outreach and outpatient clinics meant that treatment costs incurred in both types of clinic could no be compared.

    Outreach clinics in both specialties were significantly more costly in terms of staff, staff travel and associated opportunity costs compared with outpatient clinics.

    Sensitivity analysis showed that outreach and outpatient clinics had the same marginal cost if the number of patients per outreach clinic increased greatly or attendance fell considerably at outpatient clinics. (...)

    Mots-clés Pascal : Analyse coût efficacité, Sciences économiques, Analyse avantage coût, Royaume Uni, Europe, Monde, Dermatologie, Spécialité médicale, Orthopédie, Ambulatoire, Soin, Hôpital, Secteur public, Productivité, Economie industrielle, Europe Ouest, Aspect politique, Géographie

    Mots-clés Pascal anglais : Cost efficiency analysis, Economics, Cost benefit analysis, United Kingdom, Europe, World, Dermatology, Medical specialty, Orthopedics, Ambulatory, Care, Hospital, Public sector, Productivity, Industrial economy, Western Europe, Political aspect, Geography

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 21/07/1998.