Evidence map›Paper›PMID 34118161›Full record

ArticleJournal of advanced nursing2021

Using an economic evaluation approach to support specialist nursing services for people with Parkinson's in a regional community.

Marguerite Bramble, Alfred Wong, Vincent Carroll, Debbie Schwebel, Rachel Rossiter

Open access · hybridAbstract read
In one paragraph

Article in Journal of advanced nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Marguerite BrambleCharles Sturt University, School of Nursing, Midwifery and Indigenous Health, Bathurst, New South Wales, Australia.ORCID https://orcid.org/0000-0001-6552-1171
Alfred WongCharles Sturt University, School of Business, Bathurst, New South Wales, Australia.
Vincent CarrollMid North Coast Local Health District, New South Wales Health, Port Macquarie, New South Wales, Australia.
Debbie SchwebelMid North Coast Local Health District, New South Wales Health, Port Macquarie, New South Wales, Australia.
Rachel RossiterCharles Sturt University, School of Nursing, Midwifery and Indigenous Health, Orange, New South Wales, Australia.
Charles Sturt University · AUCentral Coast Local Health District · AU

Funding

Mid North Coast Local Health District Research Support Program 2018-04
6 · The paper itself

Abstract

aimThis study aims to provide economic evidence of the cost-effectiveness of employing specialist Parkinson's nurses in a regional community in Australia. STUDY

designThis retrospective study utilized hospital service usage data to compare outcomes for people with Parkinson's disease before and after the employment of a specialist Parkinson's nurse in a regional community.

methodsA representative sample was drawn from the target population of people with a diagnosis of Parkinson's admitted to a regional hospital over a 4-year period (2013-2014 and 2016-2017). A multiple regression approach and cost-benefit analysis were used to examine hospital costs related to length of stay based on hospital records. All costs were attributed to resource allocation according to service category and the national funding system. Quantitative data were analysed using Strata Analytics.

resultsStatistical findings demonstrated a reduction in hospital length of stay ranging from 0.37 (AUD$1924) to 0.755 day (AUD$3926) after the establishment of the specialist Parkinson's nurse. The cost-benefit analysis showed a net dollar benefit, or savings in hospital costs, of up to $8600.00 per person over a 3-year period, as a result of the specialist Parkinson's nurse intervention.

conclusionThe statistical results show significant cost benefits associated with reduced length of hospital stay following introduction of the specialist Parkinson's nurse. These findings support advocacy for sustainable specialist Parkinson's nurse positions and have the potential to inform and influence policy and systemic changes within the health care system. IMPACT: The benefits of embedding specialist nursing services for people with Parkinson's disease in primary health settings include the direct impact on the potential to avoid hospital admissions due to worsening symptoms, improving quality of life for the person with Parkinson's and slowing the trajectory of the disease. Additional benefits are increased access to specialist services and reduced family caregiver burden.

Indexed as

Nursing ServicesParkinson DiseaseCost-Benefit AnalysisHumansQuality of LifeRetrospective Studiescost-effectivenessnursesParkinson'sregionalspecialist

Identifiers

PMID34118161
PMCPMC9292679
OpenAlexW3170880166

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.