Improved wound management at lower cost: a sensible goal for Australia

Chronic wounds cost the Australian health system at least US$2·85 billion per year. Wound care services in Australia involve a complex mix of treatment options, health care sectors and funding mechanisms. It is clear that implementation of evidence-based wound care coincides with large health improv...

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Main Authors: Norman, R., Gibb, M., Dyer, A., Prentice, Jennifer, Yelland, S., Cheng, Q., Lazzarini, P., Carville, K., Innes-Walker, K., Finlayson, K., Edwards, H., Burn, E., Graves, N.
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd 2016
Online Access:http://hdl.handle.net/20.500.11937/46607
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author Norman, R.
Gibb, M.
Dyer, A.
Prentice, Jennifer
Yelland, S.
Cheng, Q.
Lazzarini, P.
Carville, K.
Innes-Walker, K.
Finlayson, K.
Edwards, H.
Burn, E.
Graves, N.
author_facet Norman, R.
Gibb, M.
Dyer, A.
Prentice, Jennifer
Yelland, S.
Cheng, Q.
Lazzarini, P.
Carville, K.
Innes-Walker, K.
Finlayson, K.
Edwards, H.
Burn, E.
Graves, N.
author_sort Norman, R.
building Curtin Institutional Repository
collection Online Access
description Chronic wounds cost the Australian health system at least US$2·85 billion per year. Wound care services in Australia involve a complex mix of treatment options, health care sectors and funding mechanisms. It is clear that implementation of evidence-based wound care coincides with large health improvements and cost savings, yet the majority of Australians with chronic wounds do not receive evidence-based treatment. High initial treatment costs, inadequate reimbursement, poor financial incentives to invest in optimal care and limitations in clinical skills are major barriers to the adoption of evidence-based wound care. Enhanced education and appropriate financial incentives in primary care will improve uptake of evidence-based practice. Secondary-level wound specialty clinics to fill referral gaps in the community, boosted by appropriate credentialing, will improve access to specialist care. In order to secure funding for better services in a competitive environment, evidence of cost-effectiveness is required. Future effort to generate evidence on the cost-effectiveness of wound management interventions should provide evidence that decision makers find easy to interpret. If this happens, and it will require a large effort of health services research, it could be used to inform future policy and decision-making activities, reduce health care costs and improve patient outcomes.
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institution Curtin University Malaysia
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spelling curtin-20.500.11937-466072017-09-13T14:08:02Z Improved wound management at lower cost: a sensible goal for Australia Norman, R. Gibb, M. Dyer, A. Prentice, Jennifer Yelland, S. Cheng, Q. Lazzarini, P. Carville, K. Innes-Walker, K. Finlayson, K. Edwards, H. Burn, E. Graves, N. Chronic wounds cost the Australian health system at least US$2·85 billion per year. Wound care services in Australia involve a complex mix of treatment options, health care sectors and funding mechanisms. It is clear that implementation of evidence-based wound care coincides with large health improvements and cost savings, yet the majority of Australians with chronic wounds do not receive evidence-based treatment. High initial treatment costs, inadequate reimbursement, poor financial incentives to invest in optimal care and limitations in clinical skills are major barriers to the adoption of evidence-based wound care. Enhanced education and appropriate financial incentives in primary care will improve uptake of evidence-based practice. Secondary-level wound specialty clinics to fill referral gaps in the community, boosted by appropriate credentialing, will improve access to specialist care. In order to secure funding for better services in a competitive environment, evidence of cost-effectiveness is required. Future effort to generate evidence on the cost-effectiveness of wound management interventions should provide evidence that decision makers find easy to interpret. If this happens, and it will require a large effort of health services research, it could be used to inform future policy and decision-making activities, reduce health care costs and improve patient outcomes. 2016 Journal Article http://hdl.handle.net/20.500.11937/46607 10.1111/iwj.12538 Wiley-Blackwell Publishing Ltd restricted
spellingShingle Norman, R.
Gibb, M.
Dyer, A.
Prentice, Jennifer
Yelland, S.
Cheng, Q.
Lazzarini, P.
Carville, K.
Innes-Walker, K.
Finlayson, K.
Edwards, H.
Burn, E.
Graves, N.
Improved wound management at lower cost: a sensible goal for Australia
title Improved wound management at lower cost: a sensible goal for Australia
title_full Improved wound management at lower cost: a sensible goal for Australia
title_fullStr Improved wound management at lower cost: a sensible goal for Australia
title_full_unstemmed Improved wound management at lower cost: a sensible goal for Australia
title_short Improved wound management at lower cost: a sensible goal for Australia
title_sort improved wound management at lower cost: a sensible goal for australia
url http://hdl.handle.net/20.500.11937/46607