Quantifying and Measuring the Economic Impact of Nursing Activities During the Hospital Stay of High Complexity Oncologic Care Patients
试验速览
- 阶段
- 不适用
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Volume of Nursing Activity
研究概览
简要总结
the study consists of an observational study aimed at quantifying the economic burden of the nursing activities on the overall cost of hospitalizations funded through DRG tariffs for Major complexity oncology patients.
详细描述
Study design
The methodological approach used to achieve the objective of this research is quantitative. A mixed study design is being adopted:
- Retrospective study to determine the nature and volume of activity provided at nursing classes of patients whose admission is attributed to a specific DRG
- Longitudinal prospective study to determine the variability of costs of nurses with regard to DRG refund, comparatively to distribution of patients for every single section (high, medium, low complexity).
Study population The sample has been chosen considering the prevalence of hospitalizations per year in medical oncology U.O.C. related to certain DRG and characterized by greater complexity of care, so as to provide a useful information base for study. For the retrospective study the survey will be conducted on a sample of 150 patients. Patients will be enrolled at high, medium and low complexity of care, hospitalized for chemotherapy and for biliary obstructive urinary tract and in the first half of 2016. It is estimated that the sample represents 30% of the total number of admissions made in 2016. A prospective longitudinal study will take into consideration a sample of 150 patients with the same characteristics considered for enrollment in the retrospective study.
The study will include patients who under go: CHT with a duration of hospital stay of 2-3 days (microcitomi and NHL), CHT with a length of hospital stay of 4-5 days (sarcomas), CHT with a length of hospital stay > 5 days or at high doses (testicle cancer, Ewing's sarcoma and bone sarcoma) and patients with higher complexity care.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •CHT with a duration of hospital stay of 2-3 days (microcitomi and NHL),
- •CHT with a length of hospital stay of 4-5 days (sarcomas),
- •CHT with a length of hospital stay > 5 days (in case of high doses: testicle cancer, Ewing's sarcoma and bone sarcoma)
- •Oncologic patients with higher complexity care.
排除标准
- •Patients of 18 years of age or less
- •Patients transferred to other units while inpatient
- •Patients transferred in U.O.C. of Oncology after major surgery procedures in other departments
- •Outlier admissions
结局指标
主要结局
Volume of Nursing Activity
时间窗: Through study completion, based on the patients' discharge date. The first outcome assessments are expected in December 2016.
Count of nusing activities performed to patients in different complexity groups
次要结局
- Cost weight of the nursing staff on the DRG rate reimbursed in relation to the complexity care (Complessità Assistenziale, CA) of the patient.(Through study completion, based on the patients' discharge date. The first outcome assessments are expected in December 2016.)
- Cost weight of the nursing staff on the reimbursement for hospitalization in connection with the DRG of patient discharge(Through study completion, based on the patients' discharge date. The first outcome assessments are expected in December 2016.)
- Mean difference between theoretical and actual cost of nurses in relation to the care delivered for a specific patient.(Through study completion, based on the patients' discharge date. The first outcome assessments are expected in December 2016.)
研究者
Amelia Palinuro
Phd Student
Catholic University of the Sacred Heart