Social Return on Investment (SROI) Project of the Surgical Waiting List Management System
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 98
- 试验地点
- 1
- 主要终点
- Economic cost
研究概览
简要总结
The waiting lists for surgery and diagnostic tests registered in the health management area of Campo de Gibraltar West are very high, and this is compounded by the lack of resources that prevent them from being managed efficiently.
The aim of the study is to know, quantify and communicate the measurement of the social impact, also known as social return on investment, which is presented as a tool for decision making on the intervention of the management of health concerts in comparison with the current system in Andalucia.
In addition, other objectives will be studied, such as the health and non-health benefits derived from applying the intervention of the concerts compared to the current system of waiting list management from the economic, social and environmental points of view, the economic cost of the interventions by the health concerts and the Andalusian public health system, the cost of the increase in extraordinary health resources, determining the most prevalent surgeries from highest to lowest and specifying the highest number of surgeries that are established in the concerts and in the SSPA.
The method used will be an economic evaluation of the different healthcare technologies in which the investigators compare the healthcare agreements of the most prevalent procedures and those that collect data in both groups through the SROI tool. A cross-sectional and prospective design will be carried out with a time horizon of 2021 and 2022, and for the statistical analysis the investigators will use the SSPS V25 and JASP programmes.
The investigators consider it necessary to carry out this research study as there is no specific bibliography on the healthcare technology used in healthcare agreements as a new healthcare technology compared with the current system for managing surgical waiting lists in the Andalusian public healthcare system in terms of return on investment.
详细描述
The main objective of the study is to carry out a SROI (social return on investment) project as a decision-making tool for clinical and health management of waiting lists in Campo de Gibraltar.
In addition, the investigators consider it necessary to carry out this research study as there is no specific bibliography on the healthcare want to achieve other more specific objectives such as:
- To know the economic cost of the interventions by the extraordinary health concert and the ordinary activity of the Andalusian Public Health System (APHS) of the surgical waiting list and diagnostic tests of certain surgical and functional procedures.
- To know the increase in extraordinary resources to reduce waiting lists in terms of human and material resources.
- To describe socio-demographic data and the prevalence of surgical interventions and diagnostic tests in the extraordinary agreement and the Andalusian Public Health System (APHS).
- To find out how the patient's life is affected in different areas.
- Specify the patient's willingness to pay to improve their quality of life.
- To determine the social return for each surgical procedure and functional test.
The methodology of the study, a questionnaire will be carried out with the aim of analysing the effect that the waiting list for surgery and diagnostic tests has on the lives of the people who suffer from it, this questionnaire will include, among others, the following sections:
- Socio-demographic characteristics, employment situation and family environment.
- Type of procedures and pathology - Effect of the waiting list for surgery and diagnostic tests on different areas of the patient's life.
- Willingness to pay to improve aspects of their life affected since diagnosis.
- Use of health resources in the last year linked to the pathology.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Economic cost
时间窗: 4 months
To ascertain the economic cost of interventions under the extraordinary healthcare agreement and of the ordinary activity of the Andalusian Public Health System (APHS) of the surgical waiting list and of diagnostic tests for certain surgical and functional procedures.
Increase in resources
时间窗: 4 months
To know the increase in extraordinary resources to change waiting lists in terms of human and material resources.
Prevalence of surgical procedures
时间窗: 4 months
Calculate by dividing the total number of individuals with a surgical procedure at the time of the study by the population at that point in time.
Quality-adjusted life years (QALYs)
时间窗: 4 months
Determine QALYs by multiplying the utility value associated with a given health state by the years lived in that state.
Rate of return on investment (SROI)
时间窗: 4 months
Determine the social return for each surgical procedure and functional test.
次要结局
未报告次要终点
研究者
Jose Luis Gonzalez Munoz
Principal Investigator
University of Malaga