Auswirkungen von Primary Nursing in der mobilen Pflege aus pflegeökonomischer Perspektive Eine pilotierte quasi-experimentelle Interventionsstudie Impact of Primary Nursing in Mobile Home Care from an Economic Perspective

Abstract

OBJECTIVES:
Due to the demographic developments, the need for long-term care as well as financing for long-term care is seen as a particular challenge for the fu-ture. Primary Nursing is considered as nursing delivery system in the scien-tific discourse for mobile long-term care and is examined for the first time in Austria regarding economically effects.
METHODS:
A quasi-experimental intervention study with a 12-month follow-up was car-ried out in 2017 in Home Health Care of the Upper Austrian Red Cross. To control biases, data were weighted with propensity scores. The implementa-tion of Primary Nursing was evaluated. A health economic evaluation pro-vides information about the cost-effectiveness of Primary Nursing.
RESULTS:
Primary nursing could not provide evidence of an improvement in nursing outcomes, it was shown a 1.25-fold greater benefit to the nursing service from standardized fee relative to average staff costs. With Primary Nursing, the study revealed an average annual expenditure saving of € 1,232 per patient for the payer without significant differences in nursing outcomes.
CONCLUSION:
In the long term, unused efficiency potentials in mobile nursing care can provide measurable added value to care through effective, health-promoting nursing interventions and targeted nursing process manage-ment, without incurring additional expenditure. Due to the lack of compari-sons, further is necessary research in this setting.