IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i2p996-d726310.html
   My bibliography  Save this article

Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality

Author

Listed:
  • Beata Wieczorek-Wójcik

    (Department of Nursing and Medical Rescue, Pomeranian University in Slupsk, Westerplatte Street 64, 76-200 Slupsk, Poland)

  • Aleksandra Gaworska-Krzemińska

    (Institute of Nursing and Midwifery, Medical University of Gdansk, M. Sklodowskiej-Curie Street 3a, 80-227 Gdansk, Poland)

  • Piotr Szynkiewicz

    (Department of Management and Logistics in Healthcare, Medical University of Lodz, Kosciuszki Street 4, 90-131 Lodz, Poland)

  • Michał Wójcik

    (Rehazentrum Walenstadtberg, Chnoblisbüel 1, CH-8881 Walenstadtberg, Switzerland)

  • Monika Orzechowska

    (Rehazentrum Walenstadtberg, Chnoblisbüel 1, CH-8881 Walenstadtberg, Switzerland)

  • Dorota Kilańska

    (Department of Coordinated Care, Medical University of Lodz, Kościuszki Street 4, 90-131 Lodz, Poland)

Abstract

(1) Background: an assessment of the cost-effectiveness of employing an increased number of nurses with higher education from the perspective of the service provider. (2) Methods: Based on a year-long study results and data collected from a large hospital, we conducted of the costs of preventing one death. The study involved intervention by 10% increase in the percentage of nursing care hours provided by nurses with higher education. The measure of health effects was the cost of avoiding one death (CER). The cost-effectiveness analysis (CEA) was used as the evaluation method. (3) Results: The cost of employing a larger percentage of nurses with higher education amounts to a total of amounts to a USD 11,730.62 an increase of 3.02% as compared to the base costs. The estimated number of deaths that could be prevented was 44 deaths. Mortality per 1000 patient days was 9.42, mortality after intervention was 8.41. The cost of preventing one death by the 10% increase in BSN/MSN NCH percentage in non-surgical wards USD 263.92. (4) Conclusions: increasing the percentage of care hours provided by nurses with tertiary education is a cost-effective method of reducing in-hospital mortality.

Suggested Citation

  • Beata Wieczorek-Wójcik & Aleksandra Gaworska-Krzemińska & Piotr Szynkiewicz & Michał Wójcik & Monika Orzechowska & Dorota Kilańska, 2022. "Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality," IJERPH, MDPI, vol. 19(2), pages 1-15, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:996-:d:726310
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/2/996/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/2/996/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Nolte, Ellen & McKee, Martin, 2011. "Variations in amenable mortality—Trends in 16 high-income nations," Health Policy, Elsevier, vol. 103(1), pages 47-52.
    2. Jacqueline J Suijker & Janet L MacNeil-Vroomen & Marjon van Rijn & Bianca M Buurman & Sophia E de Rooij & Eric P Moll van Charante & Judith E Bosmans, 2017. "Cost-effectiveness of nurse-led multifactorial care to prevent or postpone new disabilities in community-living older people: Results of a cluster randomized trial," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-16, April.
    3. Ana María Porcel-Gálvez & Sergio Barrientos-Trigo & Eugenia Gil-García & Olivia Aguilera-Castillo & Antonio Juan Pérez-Fernández & Elena Fernández-García, 2020. "Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study," IJERPH, MDPI, vol. 17(21), pages 1-10, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Beata Wieczorek-Wójcik & Aleksandra Gaworska-Krzemińska & Aleksander Owczarek & Michał Wójcik & Monika Orzechowska & Dorota Kilańska, 2022. "The Influence of Nurse Education Level on Hospital Readmissions—A Cost-Effectiveness Analysis," IJERPH, MDPI, vol. 19(7), pages 1-15, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Reibling, Nadine, 2013. "The international performance of healthcare systems in population health: Capabilities of pooled cross-sectional time series methods," Health Policy, Elsevier, vol. 112(1), pages 122-132.
    2. Eun, Sang Jun, 2019. "Avoidable, amenable, and preventable mortalities in South Korea, 2000–2017: Age-period-cohort trends and impact on life expectancy at birth," Social Science & Medicine, Elsevier, vol. 237(C), pages 1-1.
    3. Håvard T Rydland & Erlend L Fjær & Terje A Eikemo & Tim Huijts & Clare Bambra & Claus Wendt & Ivana Kulhánová & Pekka Martikainen & Chris Dibben & Ramunė Kalėdienė & Carme Borrell & Mall Leinsalu & Ma, 2020. "Educational inequalities in mortality amenable to healthcare. A comparison of European healthcare systems," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-17, July.
    4. Nolan, Anne & May, Peter & Matthews, Soraya & Normand, Charles & Kenny, Rose Anne & Ward, Mark, 2022. "Public health insurance and mortality in the older population: Evidence from the Irish Longitudinal Study on Ageing," Health Policy, Elsevier, vol. 126(3), pages 190-196.
    5. Juanmarti Mestres, Arnau & López Casasnovas, Guillem & Vall Castelló, Judit, 2021. "The deadly effects of losing health insurance," European Economic Review, Elsevier, vol. 131(C).
    6. Frank, John & Bromley, Catherine & Doi, Larry & Estrade, Michelle & Jepson, Ruth & McAteer, John & Robertson, Tony & Treanor, Morag & Williams, Andrew, 2015. "Seven key investments for health equity across the lifecourse: Scotland versus the rest of the UK," Social Science & Medicine, Elsevier, vol. 140(C), pages 136-146.
    7. RoyChoudhury, Agnitra & Petrova, Kameliia, 2023. "Impact of New York state nurse practitioners modernization act on quality of care," Economics Letters, Elsevier, vol. 230(C).
    8. Becchetti, Leonardo & Conzo, Gianluigi & Trovato, Giovanni, 2023. "The social value of health: A frontier analysis of life expectancy gaps across 33 European countries," Health Policy, Elsevier, vol. 133(C).
    9. Min-Hyeok Choi & Min-Hui Moon & Tae-Ho Yoon, 2022. "Avoidable Mortality between Metropolitan and Non-Metropolitan Areas in Korea from 1995 to 2019: A Descriptive Study of Implications for the National Healthcare Policy," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    10. Marmor, Theodore & Wendt, Claus, 2012. "Conceptual frameworks for comparing healthcare politics and policy," Health Policy, Elsevier, vol. 107(1), pages 11-20.
    11. Smith, Peter C. & Anell, Anders & Busse, Reinhard & Crivelli, Luca & Healy, Judith & Lindahl, Anne Karin & Westert, Gert & Kene, Tobechukwu, 2012. "Leadership and governance in seven developed health systems," Health Policy, Elsevier, vol. 106(1), pages 37-49.
    12. Andreu Nolasco & Pamela Pereyra-Zamora & Elvira Sanchis-Matea & Nayara Tamayo-Fonseca & Pablo Caballero & Inmaculada Melchor & Joaquín Moncho, 2018. "Economic Crisis and Amenable Mortality in Spain," IJERPH, MDPI, vol. 15(10), pages 1-12, October.
    13. Ralph L. Keeney & Asa B. Palley, 2013. "Decision Strategies to Reduce Teenage and Young Adult Deaths in the United States," Risk Analysis, John Wiley & Sons, vol. 33(9), pages 1661-1676, September.
    14. Kinge, Jonas Minet & Vallejo-Torres, Laura & Morris, Stephen, 2015. "Income related inequalities in avoidable mortality in Norway: A population-based study using data from 1994–2011," Health Policy, Elsevier, vol. 119(7), pages 889-898.
    15. Marlies Bär & Bram Wouterse & Carlos Riumallo Herl & Tom Van Ourti & Eddy Van Doorslaer, 2021. "Diverging Mortality Inequality Trends among Young and Old in the Netherlands," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 79-101, March.
    16. Luisa Hofmann & Michael Heinrich & Hansjörg Baurecht & Berthold Langguth & Peter M. Kreuzer & Helge Knüttel & Michael F. Leitzmann & Corinna Seliger, 2023. "Suicide Mortality Risk among Patients with Lung Cancer—A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 20(5), pages 1-15, February.
    17. Yining Xu & Xin Li & Zhihong Sun & Yang Song & Julien S. Baker & Yaodong Gu, 2021. "Adjusted Indirect and Mixed Comparisons of Interventions for the Patient-Reported Outcomes Measures (PROMs) of Disabled Adults: A Systematic Review and Network Meta-Analysis," IJERPH, MDPI, vol. 18(5), pages 1-29, March.
    18. Irma Elo & Hiram Beltrán-Sánchez & James Macinko, 2014. "The Contribution of Health Care and Other Interventions to Black–White Disparities in Life Expectancy, 1980–2007," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(1), pages 97-126, February.
    19. Hossein Haji Ali Afzali & Jonathan Karnon & Olga Theou & Justin Beilby & Matteo Cesari & Renuka Visvanathan, 2019. "Structuring a conceptual model for cost-effectiveness analysis of frailty interventions," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-13, September.
    20. Elisabetta Reginato & Isabella Fadda & Paola Paglietti & Aldo Pavan, 2021. "Informal Payments and Performance in the Health Care Sector: Possible Relationships in a Sub-National Perspective," International Journal of Business and Management, Canadian Center of Science and Education, vol. 15(3), pages 126-126, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:996-:d:726310. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.