Application of the time-driven activity-based costing methodology to a complex patient case management program in Portugal

Detalhes bibliográficos
Autor(a) principal: Ortet, Yasmara
Data de Publicação: 2023
Outros Autores: Seringa, Joana, Santana, Rui
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/158606
Resumo: Funding Information: Hugo F. Mendonça Vitor G. Vicente Publisher Copyright: © 2023, The Author(s).
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spelling Application of the time-driven activity-based costing methodology to a complex patient case management program in PortugalCase managementCostIntegrated health careMultiple chronic conditionsHealth PolicySDG 3 - Good Health and Well-beingFunding Information: Hugo F. Mendonça Vitor G. Vicente Publisher Copyright: © 2023, The Author(s).Background: The number of people with chronic diseases has increased globally, as has the number of chronic diseases per person. Faced with this reality, the term “complex patient” is current and actual. The healthcare costs associated with these patients are high and are expected to increase since most healthcare systems are not yet ready to provide integrated long-term care. In Portugal, several health institutions have made efforts to provide integrated care: case management models have been implemented to complex patients follow-up. However, studies related to cost of these programs are still limited. Therefore, a qualitative investigation was conducted, approaching the design criteria of a case study research, to design a case management program for complex patients and determine its direct costs, following the Time-Driven Activity-Based Costing methodology, in Local Health Unit setting. Method: The direct costs of providing care to a complex patient involved in a case management program were determined, using the Time-Driven Activity-Based Costing methodology. A map of the complex patient was drawn, considering a standard flow in the program. Times and costs were allocated to the activities on the map, following Portuguese and international practices of case management models. Results: A total of 684,45€/year is spent for each new patient in the case management program, of which 452,65€ corresponds to cost of remuneration of professionals involved; and 663,85€/year, for each patient who is in the case management program (over 1 year), where 432,05€ corresponds to cost of the remuneration of the professionals involved. Follow-up is the most costly phase (80.82%) and where more time is spent (85.62%). Conclusion: The time spent by professionals and resources involved and the costs associated with each patient were obtained. The economic impact of the analysed activities was not studied, however, according to international authors, when well applied and selected, integrated care models lead to cost reduction and improved health outcomes.Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)RUNOrtet, YasmaraSeringa, JoanaSantana, Rui2023-10-02T22:18:59Z2023-122023-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/158606eng1472-6963PURE: 72986360https://doi.org/10.1186/s12913-023-09729-5info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:41:09Zoai:run.unl.pt:10362/158606Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:57:13.887862Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Application of the time-driven activity-based costing methodology to a complex patient case management program in Portugal
title Application of the time-driven activity-based costing methodology to a complex patient case management program in Portugal
spellingShingle Application of the time-driven activity-based costing methodology to a complex patient case management program in Portugal
Ortet, Yasmara
Case management
Cost
Integrated health care
Multiple chronic conditions
Health Policy
SDG 3 - Good Health and Well-being
title_short Application of the time-driven activity-based costing methodology to a complex patient case management program in Portugal
title_full Application of the time-driven activity-based costing methodology to a complex patient case management program in Portugal
title_fullStr Application of the time-driven activity-based costing methodology to a complex patient case management program in Portugal
title_full_unstemmed Application of the time-driven activity-based costing methodology to a complex patient case management program in Portugal
title_sort Application of the time-driven activity-based costing methodology to a complex patient case management program in Portugal
author Ortet, Yasmara
author_facet Ortet, Yasmara
Seringa, Joana
Santana, Rui
author_role author
author2 Seringa, Joana
Santana, Rui
author2_role author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Ortet, Yasmara
Seringa, Joana
Santana, Rui
dc.subject.por.fl_str_mv Case management
Cost
Integrated health care
Multiple chronic conditions
Health Policy
SDG 3 - Good Health and Well-being
topic Case management
Cost
Integrated health care
Multiple chronic conditions
Health Policy
SDG 3 - Good Health and Well-being
description Funding Information: Hugo F. Mendonça Vitor G. Vicente Publisher Copyright: © 2023, The Author(s).
publishDate 2023
dc.date.none.fl_str_mv 2023-10-02T22:18:59Z
2023-12
2023-12-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/158606
url http://hdl.handle.net/10362/158606
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1472-6963
PURE: 72986360
https://doi.org/10.1186/s12913-023-09729-5
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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