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ABSTRACT: Objectives
Our aim was to describe the time and costs used during the implementation of a more person-centred care (PCC) approach as part of ordinary practice.Design
A case study with embedded units.Setting
Region Dalarna, Sweden.Participants
The Department for Development (DD) staff who provided a central support function in the implementation and six healthcare units: nephrology, two geriatric care and rehabilitation units, two psychiatry units and primary care.Interventions
More PCC.Primary and secondary outcome measures
Working days and related salary costs reported by categories indicating costs for implementation strategies, service delivery, and research/development costs.Results
The healthcare units logged on average 5.5 working days per staff member. In the healthcare units, 6%-57% of the time reported was used for implementation strategies, 40%-90% for service delivery and 2%-12% for research/development. Of the time reported by the DD, 88% was assigned to implementation strategies. Costs associated with reported time indicated 23% of costs for this implementation occurred in the DD. Using the budgeted cost, this proportion increased to 48%. The budget for the DD corresponded to SEK 2.30 per citizen per year and 0.009% of the total healthcare budget of the region.Conclusions
The study found that a large part of resources used for this implementation of more PCC occurred in the DD, although at least half of the costs occurred in the healthcare units. Moreover, the cost of providing a central support function corresponds to a tiny proportion of the total health budget.
SUBMITTER: Gyllensten H
PROVIDER: S-EPMC10582865 | biostudies-literature | 2023 Oct
REPOSITORIES: biostudies-literature
Gyllensten Hanna H Tistad Malin M Fridberg Helena H Wallin Lars L
BMJ open 20231011 10
<h4>Objectives</h4>Our aim was to describe the time and costs used during the implementation of a more person-centred care (PCC) approach as part of ordinary practice.<h4>Design</h4>A case study with embedded units.<h4>Setting</h4>Region Dalarna, Sweden.<h4>Participants</h4>The Department for Development (DD) staff who provided a central support function in the implementation and six healthcare units: nephrology, two geriatric care and rehabilitation units, two psychiatry units and primary care. ...[more]