Universität zu Köln

Geelvink, T., Mirhoseiny, S., Vollmar, H. C., Stock, S. and Redaelli, M. (2017). Economic potentials of delegation with and without telemedicine of people with diabetes - results of a subgroup analysis from a scoping review. Gesundh. Qual., 22 (5). S. 237 - 244. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1439-4049

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Abstract

Aim Delegation of medical activities in the care of chronically ill people is a highly discussed issue recently, especially considering the high prevalence and therefore the overall health costs of people with diabetes mellitus. The aim of this study is to identify the economic potentials of delegation. Method A systematic research was performed with defined keywords. A subgroup analysis of the developed scoping review investigated the found studies regarding preassigned items of design, outcome and cost. Results For the subgroup analysis, 20 studies (mostly randomised controlled studies) with 8567 patients were included. 81.25 % of these show an improvement of HbA1c. The majority of studies (60 %) analyzed delegation to nurses. 65 % of the investigated studies depict cost saving. Conclusion Despite the heterogeneity of the studies, most cost analyzes show financial savings. As a result, delegation appears to be a cost-effective supply model.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Geelvink, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mirhoseiny, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Vollmar, H. C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Stock, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Redaelli, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-215111
DOI:	10.1055/s-0043-101806
Journal or Publication Title:	Gesundh. Qual.
Volume:	22
Number:	5
Page Range:	S. 237 - 244
Date:	2017
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	1439-4049
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DISEASE MANAGEMENT PROGRAM; COST-EFFECTIVENESS; RANDOMIZED-TRIAL; CARE MANAGEMENT; FOLLOW-UP; NURSE; EDUCATION; TELECARE; MEDICARE; EFFICACY Multiple languages Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21511