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A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs

Melanie Jane Thomas, Ioan Humphreys Orcid Logo, Rhian Wyn Noble‐Jones

International Wound Journal, Volume: 20, Issue: 5

Swansea University Author: Ioan Humphreys Orcid Logo

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DOI (Published version): 10.1111/iwj.13999

Abstract

This unique evaluation aimed to estimate, the financial impact of non-attendance on a nation-wide hospital lymphoedema service. Along with gaining some understanding of patient characteristics of those who Did Not Attend (DNA) and were subsequently discharged. The evaluation design interrogated exis...

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Published in: International Wound Journal
ISSN: 1742-4801 1742-481X
Published: Wiley 2022
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa61966
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first_indexed 2022-11-21T10:42:00Z
last_indexed 2023-01-26T04:16:35Z
id cronfa61966
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spelling v2 61966 2022-11-21 A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs 399e932224d259fca801505dc92cebf7 0000-0001-7993-0179 Ioan Humphreys Ioan Humphreys true false 2022-11-21 THER This unique evaluation aimed to estimate, the financial impact of non-attendance on a nation-wide hospital lymphoedema service. Along with gaining some understanding of patient characteristics of those who Did Not Attend (DNA) and were subsequently discharged. The evaluation design interrogated existing performance data from 2012 to 2022. This information was used to estimate the costs incurred based on national published sources and pay scales. Staffing costs of over £1.1 m in one decade related to the financial impact of over 23 000 unattended lymphoedema appointments. The characteristics of 870 patients from 2019/2020 were also evaluated suggesting that those with a wound alongside complex lymphoedema were less likely to DNA appointments. Two-thirds of patients were managing two or more comorbidities—obesity, cardiac conditions and diabetes being the most common. It seems likely that some DNAs are avoidable by adapting appointment administrative processes and greater understanding of patients' perception of value. However, the reasons for DNA are likely to be varied and nuanced so potentially a small proportion are unavoidable. Modernising appointment processes and identifying patient value may help minimise DNA costs in the future. Journal Article International Wound Journal 20 5 Wiley 1742-4801 1742-481X comorbidity; Did Not Attend (DNA); financial workforce impact; lymphoedema; wounds 21 11 2022 2022-11-21 10.1111/iwj.13999 COLLEGE NANME Therapies COLLEGE CODE THER Swansea University SU Library paid the OA fee (TA Institutional Deal) 2023-06-12T17:02:03.5557962 2022-11-21T10:40:33.3655465 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Melanie Jane Thomas 1 Ioan Humphreys 0000-0001-7993-0179 2 Rhian Wyn Noble‐Jones 3 61966__26095__5f61fd4a09fc45a9977d1c3291f11db4.pdf 61966.pdf 2022-12-15T17:52:01.9781640 Output 1478548 application/pdf Version of Record true © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License true eng http://creativecommons.org/licenses/by-nc/4.0/
title A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs
spellingShingle A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs
Ioan Humphreys
title_short A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs
title_full A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs
title_fullStr A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs
title_full_unstemmed A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs
title_sort A spotlight on lymphoedema Did Not Attends: Demographics and workforce costs
author_id_str_mv 399e932224d259fca801505dc92cebf7
author_id_fullname_str_mv 399e932224d259fca801505dc92cebf7_***_Ioan Humphreys
author Ioan Humphreys
author2 Melanie Jane Thomas
Ioan Humphreys
Rhian Wyn Noble‐Jones
format Journal article
container_title International Wound Journal
container_volume 20
container_issue 5
publishDate 2022
institution Swansea University
issn 1742-4801
1742-481X
doi_str_mv 10.1111/iwj.13999
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description This unique evaluation aimed to estimate, the financial impact of non-attendance on a nation-wide hospital lymphoedema service. Along with gaining some understanding of patient characteristics of those who Did Not Attend (DNA) and were subsequently discharged. The evaluation design interrogated existing performance data from 2012 to 2022. This information was used to estimate the costs incurred based on national published sources and pay scales. Staffing costs of over £1.1 m in one decade related to the financial impact of over 23 000 unattended lymphoedema appointments. The characteristics of 870 patients from 2019/2020 were also evaluated suggesting that those with a wound alongside complex lymphoedema were less likely to DNA appointments. Two-thirds of patients were managing two or more comorbidities—obesity, cardiac conditions and diabetes being the most common. It seems likely that some DNAs are avoidable by adapting appointment administrative processes and greater understanding of patients' perception of value. However, the reasons for DNA are likely to be varied and nuanced so potentially a small proportion are unavoidable. Modernising appointment processes and identifying patient value may help minimise DNA costs in the future.
published_date 2022-11-21T17:02:01Z
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score 11.016235

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