Measuring sustainability in healthcare: an analysis of two systems providing insoles to patients with diabetes

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Hellstrand, Stefan,1955 (författare)

Measuring sustainability in healthcare: an analysis of two systems providing insoles to patients with diabetes

Artikel/kapitelEngelska2021

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2020-08-25
Springer Science and Business Media LLC,2021
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LIBRIS-ID:oai:gup.ub.gu.se/295645
https://gup.ub.gu.se/publication/295645URI
https://doi.org/10.1007/s10668-020-00901-zDOI

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Språk:engelska

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There is an increasing demand to quantify the footprints, ecological, economic and social, in terms of the effect of different interventions in healthcare. The aim of this study was to compare two systems providing patients with diabetes with insoles in terms of their eco-logical, economic and social footprints. Prefabricated insoles (PRI) were compared with custom-made insoles (CMI). Using a welfare-economic monetary approach, costs were estimated for (1) treatment, (2) travelling to and from the hospital in terms of both fuel and time consumed by the patients and (3) society through emissions contributing to climate change. The proportion of patients/year that could be supplied within the same budget, for each individual treatment, was calculated. The cost of the insoles was 825 SEK (PRI) and 1450 SEK (CMI), respectively. The cost, mean value/patient due to the consumption of patients’ time at the department, was 754 SEK (PRI) and 1508 SEK (CMI), respectively. Emissions, in terms of CO2 equivalent, were 13.7 (PRI) and 27.4 (CMI), respectively. Using PRI, a total of 928 patients could be provided/year compared with 500 patients if CMI are used. By using PRI, the cost/treatment was reduced by 46%. The cost of treatment dominated and the cost of time consumed by patients were also substantial. The societal cost of contributing to climate change was of low importance. By using PRI, the needs of 86% more patients could be met within the same budget. Using these methods, the contri-bution of healthcare systems to the 17 Sustainable Development Goals approved by the UN can be quantified.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences hsv//eng
Healthcare
Sustainability
Diabetes
Diabetic foot
Non-communicable diseases
Sustainable Development Goals

Biuppslag (personer, institutioner, konferenser, titlar ...)

Sundberg, Leif (författare)
Karlsson, Jón,1953Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xkajon (författare)
Zügner, Roland,1958Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xzugro (författare)
Tranberg, RoyGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xtraro (författare)
Hellstrand Tang, Ulla,1956Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xhellu (författare)
Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för ortopedi (creator_code:org_t)

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Ingår i:Environment, Development and Sustainability: Springer Science and Business Media LLC23, s. 6987-70011573-29751387-585X

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Av författaren/redakt...: Hellstrand, Stef ...; Sundberg, Leif; Karlsson, Jón, 1 ...; Zügner, Roland, ...; Tranberg, Roy; Hellstrand Tang, ...

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Av lärosätet: Göteborgs universitet

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