Spinal Cord Series and Cases, 2019 · DOI: https://doi.org/10.1038/s41394-019-0173-0 · Published: February 21, 2019
This study looks at how pressure injuries (PIs) are treated in patients with spinal cord injuries (SCIs). It also examines the costs associated with this treatment using a method called the 'modified Basel Decubitus Concept'. The study focuses on four patients with chronic SCIs and severe PIs (stage III or IV). The researchers describe the complex treatment plans each patient underwent and recorded the costs. By analyzing the costs in relation to patient characteristics, treatment phases, and milestones, the study aims to provide a better understanding of the resources needed and improve the quality of care.
Process-based treatment concepts including patient relevant characteristics as baseline, components of inter-professional treatment and milestones as well as standardised documentation of complications can build the foundation for transparent reimbursement models.
An international guideline including best evidence and highly specialised experts might provide confidence from clinical and economic sides to guarantee best quality of care in this complex health condition.
Further studies need to model the effect of functioning information also for rare but cost-intensive health conditions such as PI in SCI. An in-depth understanding of the effect of functioning on costs will assure care for these patients in the future.