Evidence map›Paper›PMID 39468543›Full record

ArticleBMC health services research2024

Enhancing the value of the oncology thoracic surgery care pathway: a TDABC and ABC analysis.

Véronique Nabelsi, Véronique Plouffe

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Véronique NabelsiDepartment of Administrative Sciences, Université du Québec en Outaouais, C.P. 1240, Succ. Hull , Gatineau, J8X 3X7, Canada. veronique.nabelsi@uqo.ca.
Véronique PlouffeDepartment of Accounting, Université du Québec en Outaouais, C.P. 1240, Succ. Hull, Gatineau, J8X 3X7, Canada.

Funding

Fonds de soutien à l'innovation en santé et en services sociaux 2-2-21
6 · The paper itself

Abstract

backgroundTime-driven activity-based costing (TDABC) and activity-based costing (ABC) are methods used in the healthcare sector to assess the costs of patient care pathways. These methods help identify opportunities for optimizing and reducing activity times without compromising the quality of care. TDABC is recommended in the Value-Based Healthcare (VBHC) model to assess the outcomes of care pathways in relation to their associated costs. By focusing on the creation of value for patients, TDABC helps identify the interventions and processes that provide the most value in terms of clinical outcomes and patient satisfaction. This enables healthcare organizations to make informed decisions on improvements that will maximize value for patients. The aim of the study is to evaluate the cost of the oncology thoracic surgery care pathway prior to and following the implementation of digital health solution.

methodsWe have chosen to use the TDABC and ABC methods to calculate the costs of care pathway for oncology patients undergoing thoracic surgery in two healthcare establishments prior to and following the implementation of a digital health solution. By using these methods, we were able to calculate the costs associated with each stage of the patients' care pathway. This has given us a clearer picture of the costs associated with each activity and a better understanding of the sources of expenditure.

resultsThe results show that implementing the digital health solution and applying the principles of the VBHC model have provided tangible benefits in terms of reviewing processes and the roles of the various players involved, eliminating unnecessary or non-value-added activities, automating administrative or repetitive tasks, and improving coordination between the two healthcare establishments and between healthcare professionals. These improvements have contributed to better patient care.

conclusionsGiven the success observed in this pilot project, decision-makers chose to persistently implement this digital health solution for specific care pathways over the long term. Additionally, there is a commitment to further enhance the platform to align closely with the needs and the expectations of healthcare professionals. This proactive approach aims to ensure optimal utilization of resources, ultimately providing the best care to patients.

Indexed as

Critical PathwaysThoracic Surgical ProceduresCosts and Cost AnalysisHumansThoracic SurgeryActivity-Based Costing (ABC)Care pathwaysOncologyThoracic surgeryTime-Driven activity-based costing (TDABC)Value-Based Healthcare (VBHC)

Identifiers

PMID39468543
PMCPMC11520481

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LicenceCC BY-NC-ND
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Registered trials

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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.