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https://doi.org/10.21256/zhaw-4885Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Eichler, Klaus | - |
| dc.contributor.author | Hess, Sascha | - |
| dc.contributor.author | Chmiel, Corinne | - |
| dc.contributor.author | Bögli, Karin | - |
| dc.contributor.author | Sidler, Patrick | - |
| dc.contributor.author | Senn, Oliver | - |
| dc.contributor.author | Rosemann, Thomas | - |
| dc.contributor.author | Brügger, Urs | - |
| dc.date.accessioned | 2018-11-15T14:17:33Z | - |
| dc.date.available | 2018-11-15T14:17:33Z | - |
| dc.date.issued | 2014 | - |
| dc.identifier.issn | 1472-0205 | de_CH |
| dc.identifier.issn | 1472-0213 | de_CH |
| dc.identifier.uri | https://digitalcollection.zhaw.ch/handle/11475/12829 | - |
| dc.description.abstract | Background: Emergency departments (EDs) are increasingly overcrowded by walk-in patients. However, little is known about health-economic consequences resulting from long waiting times and inefficient use of specialised resources. We have evaluated a quality improvement project of a Swiss urban hospital: In 2009, a triage system and a hospital-associated primary care unit with General Practitioners (H-GP-unit) were implemented beside the conventional hospital ED. This resulted in improved medical service provision with reduced process times and more efficient diagnostic testing. We now report on health-economic effects. Methods: From the hospital perspective, we performed a cost comparison study analysing treatment costs in the old emergency model (ED, only) versus treatment costs in the new emergency model (triage plus ED plus H-GP-unit) from 2007 to 2011. Hospital cost accounting data were applied. All consecutive outpatient emergency contacts were included for 1 month in each follow-up year. Results The annual number of outpatient emergency contacts increased from n=10 440 (2007; baseline) to n=16 326 (2011; after intervention), reflecting a general trend. In 2007, mean treatment costs per outpatient were €358 (95% CI 342 to 375). Until 2011, costs increased in the ED (€423 (396 to 454)), but considerably decreased in the H-GP-unit (€235 (221 to 250)). Compared with 2007, the annual local budget spent for treatment of 16 326 patients in 2011 showed cost reductions of €417 600 (27 200 to 493 600) after adjustment for increasing patient numbers. Conclusions: From the health-economic point of view, our new service model shows ‘dominance’ over the old model: While quality of service provision improved (reduced waiting times; more efficient resource use in the H-GP-unit), treatment costs sustainably decreased against the secular trend of increase. | de_CH |
| dc.language.iso | en | de_CH |
| dc.publisher | BMJ Publishing Group | de_CH |
| dc.relation.ispartof | Emergency Medicine Journal | de_CH |
| dc.rights | http://creativecommons.org/licenses/by-nc/3.0/ | de_CH |
| dc.subject.ddc | 362.11: Krankenhäuser und verwandte Einrichtungen | de_CH |
| dc.title | Sustained health-economic effects after reorganisation of a Swiss hospital emergency centre : a cost comparison study | de_CH |
| dc.type | Beitrag in wissenschaftlicher Zeitschrift | de_CH |
| dcterms.type | Text | de_CH |
| zhaw.departement | School of Management and Law | de_CH |
| zhaw.organisationalunit | Winterthurer Institut für Gesundheitsökonomie (WIG) | de_CH |
| dc.identifier.doi | 10.21256/zhaw-4885 | - |
| dc.identifier.doi | 10.1136/emermed-2013-202760 | de_CH |
| dc.identifier.pmid | 23850883 | de_CH |
| zhaw.funding.eu | No | de_CH |
| zhaw.issue | 10 | de_CH |
| zhaw.originated.zhaw | Yes | de_CH |
| zhaw.pages.end | 823 | de_CH |
| zhaw.pages.start | 818 | de_CH |
| zhaw.publication.status | publishedVersion | de_CH |
| zhaw.volume | 31 | de_CH |
| zhaw.publication.review | Peer review (Publikation) | de_CH |
| Appears in collections: | Publikationen School of Management and Law | |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 2014_Eichler_Sustained_health-economic_effects_after_reorganisation.pdf | 1.2 MB | Adobe PDF |  View/Open |
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Eichler, K., Hess, S., Chmiel, C., Bögli, K., Sidler, P., Senn, O., Rosemann, T., & Brügger, U. (2014). Sustained health-economic effects after reorganisation of a Swiss hospital emergency centre : a cost comparison study. Emergency Medicine Journal, 31(10), 818–823. https://doi.org/10.21256/zhaw-4885
Eichler, K. et al. (2014) ‘Sustained health-economic effects after reorganisation of a Swiss hospital emergency centre : a cost comparison study’, Emergency Medicine Journal, 31(10), pp. 818–823. Available at: https://doi.org/10.21256/zhaw-4885.
K. Eichler et al., “Sustained health-economic effects after reorganisation of a Swiss hospital emergency centre : a cost comparison study,” Emergency Medicine Journal, vol. 31, no. 10, pp. 818–823, 2014, doi: 10.21256/zhaw-4885.
EICHLER, Klaus, Sascha HESS, Corinne CHMIEL, Karin BÖGLI, Patrick SIDLER, Oliver SENN, Thomas ROSEMANN und Urs BRÜGGER, 2014. Sustained health-economic effects after reorganisation of a Swiss hospital emergency centre : a cost comparison study. Emergency Medicine Journal. 2014. Bd. 31, Nr. 10, S. 818–823. DOI 10.21256/zhaw-4885
Eichler, Klaus, Sascha Hess, Corinne Chmiel, Karin Bögli, Patrick Sidler, Oliver Senn, Thomas Rosemann, and Urs Brügger. 2014. “Sustained Health-Economic Effects after Reorganisation of a Swiss Hospital Emergency Centre : A Cost Comparison Study.” Emergency Medicine Journal 31 (10): 818–23. https://doi.org/10.21256/zhaw-4885.
Eichler, Klaus, et al. “Sustained Health-Economic Effects after Reorganisation of a Swiss Hospital Emergency Centre : A Cost Comparison Study.” Emergency Medicine Journal, vol. 31, no. 10, 2014, pp. 818–23, https://doi.org/10.21256/zhaw-4885.
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