Triage - hälsoekonomi
When a person arrives at the emergency ward at the Uppsala University Hospital with his or her symptoms he or she explains the problems and then a priority process starts. The staff evaluate at which emergency level the patient is located in a model called Triage. The Triage model helps to decide th...
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| Formato: | Otro |
| Lenguaje: | sueco sueco |
| Publicado: |
2009
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| Materias: | |
| Acceso en línea: | https://stud.epsilon.slu.se/10945/ |
| _version_ | 1855571780127686656 |
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| author | Lund Johansson, Maria |
| author_browse | Lund Johansson, Maria |
| author_facet | Lund Johansson, Maria |
| author_sort | Lund Johansson, Maria |
| collection | Epsilon Archive for Student Projects |
| description | When a person arrives at the emergency ward at the Uppsala University Hospital with his or her symptoms he or she explains the problems and then a priority process starts. The staff evaluate at which emergency level the patient is located in a model called Triage. The Triage model helps to decide the priority need and is based upon templates which point out in which of the 5 categories a patient is to be placed, to eliminate any future risk regarding his or her health. A lower triage level means lower priority but implies better health when the evaluation takes place. To obtain optimal effect of the Triage model the evaluation of symptoms must be reproducible so that patients with the same symptoms are placed at the same triage level regardless of whom among the staff conducts the evaluation.
The purpose of the study was to see if the resources are allocated based on priority level of the patients. In this study the cost levels were calculated for the 5 triage levels within the 5 different cost categories: staff, material, medicine, x-ray and laboratory. The investigation has focused on these variable costs in two studies, one focusing on time and the other on charts. A tool that can be used to evaluate health and show how to allocate resources is Health Economics which I used.
The results were calculated for the 5 different cost categories and then the total variable costs were calculated for all triage levels. The need of resources can be equalized with the cost level since a high demand of resources gives a high cost. The result shows that the highest level of priority has the highest cost level, which was expected, but the lowest cost level is found in the middle of the triage scale. If the resources were allocated based on the patients' needs, the total health level for all patients would improve in the long run. If priority corresponds to the need of resources cannot be seen in the spread of costs between the triage levels in this study. |
| format | Otro |
| id | RepoSLU10945 |
| institution | Swedish University of Agricultural Sciences |
| language | Swedish swe |
| publishDate | 2009 |
| publishDateSort | 2009 |
| record_format | eprints |
| spelling | RepoSLU109452017-09-20T08:48:22Z https://stud.epsilon.slu.se/10945/ Triage - hälsoekonomi Lund Johansson, Maria Economics and management When a person arrives at the emergency ward at the Uppsala University Hospital with his or her symptoms he or she explains the problems and then a priority process starts. The staff evaluate at which emergency level the patient is located in a model called Triage. The Triage model helps to decide the priority need and is based upon templates which point out in which of the 5 categories a patient is to be placed, to eliminate any future risk regarding his or her health. A lower triage level means lower priority but implies better health when the evaluation takes place. To obtain optimal effect of the Triage model the evaluation of symptoms must be reproducible so that patients with the same symptoms are placed at the same triage level regardless of whom among the staff conducts the evaluation. The purpose of the study was to see if the resources are allocated based on priority level of the patients. In this study the cost levels were calculated for the 5 triage levels within the 5 different cost categories: staff, material, medicine, x-ray and laboratory. The investigation has focused on these variable costs in two studies, one focusing on time and the other on charts. A tool that can be used to evaluate health and show how to allocate resources is Health Economics which I used. The results were calculated for the 5 different cost categories and then the total variable costs were calculated for all triage levels. The need of resources can be equalized with the cost level since a high demand of resources gives a high cost. The result shows that the highest level of priority has the highest cost level, which was expected, but the lowest cost level is found in the middle of the triage scale. If the resources were allocated based on the patients' needs, the total health level for all patients would improve in the long run. If priority corresponds to the need of resources cannot be seen in the spread of costs between the triage levels in this study. När en person anländer till akutmottagningen på Akademiska sjukhuset och redogör för sina symptom startar en prioriteringsprocess. Personalen bedömer vid vilken akutnivå patienten befinner sig med hjälp av ett sorteringssystem kallat Triage. Triage fungerar som ett prioriteringssystem med mallar för att först bedöma och sedan kategorisera vem som har de mest akuta symptomen bland dem som söker till akutmottagningen. Utifrån dessa mallar bedöms vilken av de fem olika triagenivåerna patientens symptom motsvarar och bedömningen görs för att inte riskera patientens framtida hälsa. En lägre triagenivå innebär lägre prioritering men även att patienten har en bättre hälsa vid bedömningen. För att triagesystemet ska fungera optimalt krävs reproducerbarhet vid bedömningen av likartade sjukdomssymptom. Reproducerbarheten innebär att patienter med liknande symptom ska få samma bedömning inom Triage oavsett vem i personalen som genomför bedömningen. Syftet med undersökningen var att se om resurserna är allokerade mellan patienterna utifrån prioriteringsbehov. I undersökningen beräknas kostnadsnivån för de fem triagenivåerna inom de fem olika kostnadskategorierna: personal, material, medicin, röntgen och prover. Undersökningen har fokuserat på dessa rörliga kostnader i två studier, en tidsstudie och en journalstudie. För att beräkna värdet av patientens ”hälsa” och belysa hur resurser allokeras utifrån det har Hälsoekonomisk teori använts. Resultatet har beräknats för de fem kostnadskategorierna. Först har delkostnaderna för de fem triagenivåerna räknats ut och sen har de totala rörliga kostnaderna beräknats för de fem triagenivåerna. Behovet av resurser kan likställas med kostnadsnivå eftersom ett högt behov av resurser ger en hög kostnad. I resultatet framkom att den högsta prioriteringsnivån har den högsta kostnaden, vilket var förväntat, men den lägsta kostnaden återfanns hos den grupp som prioriteras i mitten av triageskalan. Om resurserna vore allokerade utifrån patienternas behov, skulle den totala hälsan för alla patienter bli bättre i längden. Om prioriteringen motsvarar behovet av resurser kan inte ses i kostnadsspridningen mellan triagenivåerna i denna undersökning. 2009-05-29 Other NonPeerReviewed application/pdf sv https://stud.epsilon.slu.se/10945/1/lundjohansson_m_170920.pdf Lund Johansson, Maria, 2009. Triage - hälsoekonomi : resursallokering och kostnadsberäkning för olika proriteringsnivåer inom akutsjukvård. UNSPECIFIED, Uppsala. Uppsala: (NL, NJ) > Dept. of Economics <https://stud.epsilon.slu.se/view/divisions/OID-510.html> urn:nbn:se:slu:epsilon-s-7008 swe |
| spellingShingle | Economics and management Lund Johansson, Maria Triage - hälsoekonomi |
| title | Triage - hälsoekonomi |
| title_full | Triage - hälsoekonomi |
| title_fullStr | Triage - hälsoekonomi |
| title_full_unstemmed | Triage - hälsoekonomi |
| title_short | Triage - hälsoekonomi |
| title_sort | triage - hälsoekonomi |
| topic | Economics and management |
| url | https://stud.epsilon.slu.se/10945/ https://stud.epsilon.slu.se/10945/ |