Analisi di Budget Impact su modelli di acquisto e gestione degli ausili per l’incontinenza urinaria a confronto
Introduction: Urinary Incontinence (UI) is a chronic condition affecting mainly elderly people, thus the budget to deal with is foreseen to grow significantly, especially in Italy, where there is a combination of private and public buying. In 2015, the Italian National Health System (NHS) spent 355...
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Series: | Global & Regional Health Technology Assessment |
Online Access: | https://doi.org/10.1177/2284240318759426 |
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doaj-503c65c59328483c90ef90b72a87bee32020-11-25T00:34:24ZengAboutScience SrlGlobal & Regional Health Technology Assessment2283-57332018-04-01201810.1177/2284240318759426Analisi di Budget Impact su modelli di acquisto e gestione degli ausili per l’incontinenza urinaria a confrontoFS Mennini0P Pisanti1S Terzoni2EP Lanati3A Marcellusi4A Marcelli5A Iorio6Institute for Leadership and Management in Health, Kingston University, LondonDirezione Generale Programmazione - Ministero della Salute, Roma – ItaliaEuropean Association of Urology Nurses, Milano – ItaliaMA Provider S.r.l., Milano – ItaliaInstitute for Leadership and Management in Health, Kingston University, LondonMA Provider S.r.l., Milano – ItaliaMA Provider S.r.l., Milano – ItaliaIntroduction: Urinary Incontinence (UI) is a chronic condition affecting mainly elderly people, thus the budget to deal with is foreseen to grow significantly, especially in Italy, where there is a combination of private and public buying. In 2015, the Italian National Health System (NHS) spent 355 million Euros to provide pads to UI, while the out-of-pocket expenditure for the patients was 233 million Euros. The study aims to evaluate the impact of two different UI buying pathway by performing a Budget Impact Analysis (BIA) vs current model. Methods: Three different scenarios were compared over a period of 3 years. Scenario 1 (“As is”), based on current model (2016-2017 expenditure), was compared to the: Scenario 2 (“Voucher”), implying the introduction of vouchers to entitle patients to acquire pads in the private channel without NHS tenders; Scenario 3 (“Tender management Optimization”) is based on an optimization of provided from NHS pads, according to patients UI severity. Results: Scenario 2 implies increase of NHS expenditure of 262 million Euros in the 2020, while Scenario 3 generates 21 million of savings vs scenario 1. Conclusions: The study indicates that the introduction of a new pathway in managing UI such as Scenario 3, could be sustainable for NHS and generate significant savings both for NHS and patient perspective.https://doi.org/10.1177/2284240318759426 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
FS Mennini P Pisanti S Terzoni EP Lanati A Marcellusi A Marcelli A Iorio |
spellingShingle |
FS Mennini P Pisanti S Terzoni EP Lanati A Marcellusi A Marcelli A Iorio Analisi di Budget Impact su modelli di acquisto e gestione degli ausili per l’incontinenza urinaria a confronto Global & Regional Health Technology Assessment |
author_facet |
FS Mennini P Pisanti S Terzoni EP Lanati A Marcellusi A Marcelli A Iorio |
author_sort |
FS Mennini |
title |
Analisi di Budget Impact su modelli di acquisto e gestione degli ausili per l’incontinenza urinaria a confronto |
title_short |
Analisi di Budget Impact su modelli di acquisto e gestione degli ausili per l’incontinenza urinaria a confronto |
title_full |
Analisi di Budget Impact su modelli di acquisto e gestione degli ausili per l’incontinenza urinaria a confronto |
title_fullStr |
Analisi di Budget Impact su modelli di acquisto e gestione degli ausili per l’incontinenza urinaria a confronto |
title_full_unstemmed |
Analisi di Budget Impact su modelli di acquisto e gestione degli ausili per l’incontinenza urinaria a confronto |
title_sort |
analisi di budget impact su modelli di acquisto e gestione degli ausili per l’incontinenza urinaria a confronto |
publisher |
AboutScience Srl |
series |
Global & Regional Health Technology Assessment |
issn |
2283-5733 |
publishDate |
2018-04-01 |
description |
Introduction: Urinary Incontinence (UI) is a chronic condition affecting mainly elderly people, thus the budget to deal with is foreseen to grow significantly, especially in Italy, where there is a combination of private and public buying. In 2015, the Italian National Health System (NHS) spent 355 million Euros to provide pads to UI, while the out-of-pocket expenditure for the patients was 233 million Euros. The study aims to evaluate the impact of two different UI buying pathway by performing a Budget Impact Analysis (BIA) vs current model. Methods: Three different scenarios were compared over a period of 3 years. Scenario 1 (“As is”), based on current model (2016-2017 expenditure), was compared to the: Scenario 2 (“Voucher”), implying the introduction of vouchers to entitle patients to acquire pads in the private channel without NHS tenders; Scenario 3 (“Tender management Optimization”) is based on an optimization of provided from NHS pads, according to patients UI severity. Results: Scenario 2 implies increase of NHS expenditure of 262 million Euros in the 2020, while Scenario 3 generates 21 million of savings vs scenario 1. Conclusions: The study indicates that the introduction of a new pathway in managing UI such as Scenario 3, could be sustainable for NHS and generate significant savings both for NHS and patient perspective. |
url |
https://doi.org/10.1177/2284240318759426 |
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