eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Pedro Gaspar1 Josep Monguet2 Jordi Ojeda2

João Costa1 Rogério Costa1

1Polytechnic Institute of Leiria (IPL) - Portugal2Polytechnic University of Catalonia (UPC) - Spain

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Introduction

prev

alen

ce &

inci

denc

e

econ

omic

bur

den … 2.3 and 3.1 billion pounds

(2005-2006 prices) per year in the UK (Posnett & Franks, 2008)

… 7 billion dollars in the USA, in 2007 (in dressing materials alone) …

… 20 billion if other costs (salaries, hospitalization, infection control…) are taken into consideration (Zaleski, 2008)

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Introduction

diagnosis and treatment

new materials

…

techn

ologic

al

adva

nces

new equipment

evidence based

practice

trai

ning

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Introduction

Lifelong Learning Competences Performance

INFORMATION and COMMUNICATION TECHNOLOGIES

HEALTH COSTS

In a context of fast-moving scientific and technological advances, knowledge acquired at school soon becomes outdated (Kokol, 2006).

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

general hypothesis

costs vary according to the training of health professionals involved in the diagnosis and treatment of

chronic wounds.

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Introduction

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Web Based Learning (e-fer)

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Materials and methods

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Mathematical model to estimate the costs of chronic wounds

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Materials and methods

PLPPLFCETCphTChsLCWDCWETTTC Where: TC – Total Costs ETT – Expected Treatment Time (weeks)

APIHrADIHrDIHrWWIHrHTETT HT - Healing Time WWIHr - Wound Washing Impact in healing rate DIHr - Dressing Impact in healing rate ADIHr - Additional Dressing Impact in healing rate APIHr - Additional Procedure Impact in healing rate DCW – Dressing Costs per Week

DCPDCDCW DCP- Dressing Change periodicity, per week DC- Dressing (materials) Costs, per week LCW –Labour (nursing) Costs per Week

DCPSmobLCLCW 125,0120min Smob –Mobility status (1 if the patient is autonomous ; 0 if the patient is not autonomous) LCmin – Labour Costs per minute TChs – Travel costs from patient home to Health Service – per week

SmobDCPTChs 4,9 TCph – Travel costs from Health Service to patient home – per week

SmobDCPLCSmobTCph 1min20125,014,46,10 CE – Costs of Equipment for pressure relieving support

PRCErgCPRMCE PRM – Pressure relieving Mattress ErgC – Ergonomic Chair PRC – Pressure Relieving Cushion PLF – Productivity losses by familiar that support patient.

ETTDCPDPVPLF 2

DPV – Daily production value PLP – Productivity losses by patient (if the patient is a worker) Age2 – 0 if ? 65 years old 1 if < 65 years old

27 AgeSmobETTDPVPLP

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Materials and methods

PLPPLFCETCphTChsLCWDCWETTTotalCosts

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Materials and methods

PLPPLFCETCphTChsLCWDCWETTTotalCosts

ETT – Expected Treatment Time (weeks)

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Materials and methods

PLPPLFCETCphTChsLCWDCWETTTotalCosts

DCW – Dressing Costs per Week

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Materials and methods

PLPPLFCETCphTChsLCWDCWETTTotalCosts

LCW –Labour (nursing) Costs per Week

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Materials and methods

PLPPLFCETCphTChsLCWDCWETTTotalCosts

TChs – Travel costs from patient home to Health Service – per week

TCph – Travel costs from Health Service to patient home – per week

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Materials and methods

PLPPLFCETCphTChsLCWDCWETTTotalCosts

CE – Costs of Equipment for pressure relieving support

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Materials and methods

PLPPLFCETCphTChsLCWDCWETTTotalCosts

PLF – Productivity losses by familiar that support patient.

PLP – Productivity losses by patient (if the patient is a worker)

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Web Based System (e-fer Simulator)

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Materials and methods

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Optimum Cost matrices

…by applying the mathematical model to the virtual cases validated.

Cost of Decision matrices

…by applying the mathematical model to the options chosen by the users in the e-fer Simulator

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Materials and methods

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Experimental

group

(n=12)

Control

group

(n=12)

Pre-test Post-test

TRAINING

Prevention andTreatment of

ChronicWounds

35h

XData pre-test Data post-test

Time (two weeks)

e-fer Simulator

e-fer Simulator

e-fer Simulator

e-fer Simulator

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Experimental

group

(n=12)

Control

group

(n=12)

Pre-test Post-test

TRAINING

Prevention andTreatment of

ChronicWounds

35h

XData pre-test Data post-test

Time (two weeks)

e-fer Simulator

e-fer Simulator

e-fer Simulator

e-fer Simulator

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Experimental

group

(n=12)

Control

group

(n=12)

Pre-test Post-test

TRAINING

Prevention andTreatment of

ChronicWounds

35h

XData pre-test Data post-test

Time (two weeks)

e-fer Simulator

e-fer Simulator

e-fer Simulator

e-fer Simulator

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Experimental

group

(n=12)

Control

group

(n=12)

Pre-test Post-test

TRAINING

Prevention andTreatment of

ChronicWounds

35h

XData pre-test Data post-test

Time (two weeks)

e-fer Simulator

e-fer Simulator

e-fer Simulator

e-fer Simulator

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Experimental

group

(n=12)

Control

group

(n=12)

Pre-test Post-test

TRAINING

Prevention andTreatment of

ChronicWounds

35h

XData pre-test Data post-test

Time (two weeks)

e-fer Simulator

e-fer Simulator

e-fer Simulator

e-fer Simulator

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results

The results were analysed with the Mann-Whitney and Wilcoxon nonparametric test, with 95% confidence interval.

The results reflect the difference between Optimum Costs and the Costs of Decision observed in the groups.

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results

The groups were homogeneous with regard to the Cost of Decision in the pre-test

(U = 64; p= 0.641)

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st centuryIstanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results

The groups were homogeneous with regard to the Cost of Decision in the pre-test

0,00 €2.000,00 €4.000,00 €6.000,00 €8.000,00 €

10.000,00 €12.000,00 €14.000,00 €16.000,00 €18.000,00 €20.000,00 €

CMP CSE CDSS CDEdd TCD PSF PSDta TCI CT

1º momento de avaliação 2º momento de avaliação

0,00 €2.000,00 €4.000,00 €6.000,00 €8.000,00 €

10.000,00 €12.000,00 €14.000,00 €16.000,00 €18.000,00 €20.000,00 €

CMP CSE CDSS CDEdd TCD PSF PSDta TCI CT

Control Group

Experimental Group

(U = 64; p= 0.641)

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st centuryIstanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results

The groups were homogeneous with regard to the Cost of Decision in the pre-test

Control Group

Experimental Group

(U = 64; p= 0.641)Tota

l Cos

ts

Pre test

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st centuryIstanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results

The groups were homogeneous with regard to the Cost of Decision in the pre-test

0,00 €2.000,00 €4.000,00 €6.000,00 €8.000,00 €

10.000,00 €12.000,00 €14.000,00 €16.000,00 €18.000,00 €20.000,00 €

CMP CSE CDSS CDEdd TCD PSF PSDta TCI CT

1º momento de avaliação 2º momento de avaliação

0,00 €2.000,00 €4.000,00 €6.000,00 €8.000,00 €

10.000,00 €12.000,00 €14.000,00 €16.000,00 €18.000,00 €20.000,00 €

CMP CSE CDSS CDEdd TCD PSF PSDta TCI CT

Control Group

Experimental Group

(U = 64; p= 0.641)

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st centuryIstanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results

The groups were homogeneous with regard to the Cost of Decision in the pre-test

Control Group

Experimental Group

(U = 64; p= 0.641)Tota

l Cos

ts

Pre test

Pos test

Pre test

Pos test

Z= -3.059 p= 0.002

Z= -0,314 p= 0.753

Difference between Optimal Costs and Costs of Decision observed in Groups (before and after training)

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results O

ptim

um

cost

Cos

t of d

ecis

ion

119.

19%

abo

ve th

e O

C

Cos

t of d

ecis

ion

58.9

0% a

bove

the

OC

Control Group

Experimental Group

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st centuryIstanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results

non-

trai

ning

cos

ts(8

90.0

7 €

for e

ach

wou

nd)

Indi

rect

cos

ts(4

28.0

8 €)

dire

ct c

osts

(461

.99

€)

(salary losses of the reference family member and/or patient)

(dressing materials) 97.09 €

(patient’s travel expenses ) 171.28 €

(nurse’s salaries and travel expenses) 196.90 €

non-training costs(890.07 € for each wound)

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Results

non-

trai

ning

cos

ts(8

90.0

7 €

for e

ach

wou

nd)

Indi

rect

cos

ts(4

28.0

8 €)

dire

ct c

osts

(461

.99

€)

(dressing materials) 97.09 €

(patient’s travel expenses ) 171.28 €

(nurse’s salaries and travel expenses) 196.90 €

(salary losses of patient and/or familiar) 428.08 €48%

19%

22%

11%

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

econ

omic

bur

den

Conclusion

How mutch € can we save through

training ?

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Conclusion

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st centuryIstanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Conclusion

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construction of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool)

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construction of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool)

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construct ion of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Tota l costs CDC – Clinical D irect Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool )

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Co rrect cho ices for the Diagnosis & Treatment

Construct ion of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Tota l costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool )

EXPERTS TR AINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinica l D irect Costs CIC – Clinical Indirect Costs IC – Indirect Costs

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Conclusion

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st centuryIstanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Conclusion

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construction of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool)

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construction of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool)

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construct ion of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Tota l costs CDC – Clinical D irect Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool )

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Co rrect cho ices for the Diagnosis & Treatment

Construct ion of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Tota l costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool )

EXPERTS TR AINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinica l D irect Costs CIC – Clinical Indirect Costs IC – Indirect Costs

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Conclusion

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st centuryIstanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Conclusion

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construction of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool)

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construction of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool)

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construct ion of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Tota l costs CDC – Clinical D irect Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool )

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Co rrect cho ices for the Diagnosis & Treatment

Construct ion of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Tota l costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool )

EXPERTS TR AINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinica l D irect Costs CIC – Clinical Indirect Costs IC – Indirect Costs

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Conclusion

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st centuryIstanbul, Turkey

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

Conclusion

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construction of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool)

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construction of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool)

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Correct choices for the Diagnosis & Treatment

Construct ion of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Tota l costs CDC – Clinical D irect Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool )

EXPERTS TRAINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Based on real experiences Relevant data to the Diagnosis & Treatment Co rrect cho ices for the Diagnosis & Treatment

Construct ion of Virtual Cases

(Web based tool)

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Tota l costs CDC – Clinical Direct Costs CIC – Clinical Indirect Costs IC – Indirect Costs

Peer review

Diagnosis Decision Treatment Decision

Diagnosis & Treatment Simulator

of Virtual Cases (Web based tool )

EXPERTS TR AINEES

Optimum Cost

Cost of Decision

COSTS OF NON-TRAINING = Cost of decision – Optimum Cost

MATHEMATICAL MODEL FOR COSTS ESTIMATION

TC = CDC+CIC+IC

TC – Total costs CDC – Clinica l D irect Costs CIC – Clinical Indirect Costs IC – Indirect Costs

eHealth 2009 - Second International ICST Conference on Electronic Healthcare for the 21st century Istanbul, Turkey

Pedro Gaspar1 Josep Monguet2 Jordi Ojeda2

João Costa1 Rogério Costa1

1Polytechnic Institute of Leiria (IPL) - Portugal2Polytechnic University of Catalonia (UPC) - Spain

THE COSTS OF NON-TRAINING IN CHRONIC WOUNDS: Estimates through practice simulation

thank you for your attention