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Volume 6
Issue 1
10.1080/20016689.2018.1527654
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Journal of Market Access & Health Policy (JMAHP) is published by MDPI from Volume 12 Issue 1 (2024). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Taylor & Francis.
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Article

Budget Impact of Antimicrobial Wound Dressings in the Treatment of Venous Leg Ulcers in the German Outpatient Care Sector: A Budget Impact Analysis

by
Maria Gueltzow
1,
Poroshat Khalilpour
1,*,
Katharina Kolbe
2 and
York Zoellner
2
1
Global Regulatory Affairs, BSN medical GmbH, Hamburg, Germany
2
Econ-Epi, Hamburg, Germany
*
Author to whom correspondence should be addressed.
J. Mark. Access Health Policy 2018, 6(1), 1527654; https://doi.org/10.1080/20016689.2018.1527654
Submission received: 7 June 2018 / Revised: 8 September 2018 / Accepted: 14 September 2018 / Published: 1 November 2018

Abstract

Background: Hard-to-heal wounds are associated with high treatment costs and, in Germany, are mostly treated in the outpatient care sector. Wound dressings are the main cost-drivers in venous leg ulcer (VLU) care which prescription is budget-restricted. Objective: To determine to what extent the choice of antimicrobial dressing affects the spending in outpatient care by investigating the budget impact of the bioburden-reducing dressing Cutimed Sorbact. Methods: The budget impact analysis was performed comparing three different scenarios of the intervention mix of antimicrobial dressings. A Markov model was used to estimate the VLU progression during one year. The budget impact was determined by comparing the dressing and medicine resource use and costs of the three scenarios. Results: This analysis confirms the high treatment costs of VLU care. ScenarioA leads to a decreased resource use of antimicrobial dressings and results in 20.86% lower treatment costs after 12 months. The increased use of Cutimed Sorbact has a positive budget impact. Conclusion: This analysis indicates that the treatment of VLU patients may result in an exceedance of the budget per patient that is available to the treating practitioner. The choice of wound dressing, however, may positively affect the prescribers’ budget spending in outpatient care.
Keywords: budget impact; cost-of-illness; health economics; outpatient care; venous leg ulcer; chronic wounds; antimicrobial wound dressings; Cutimed Sorbact; DACC; silver dressings budget impact; cost-of-illness; health economics; outpatient care; venous leg ulcer; chronic wounds; antimicrobial wound dressings; Cutimed Sorbact; DACC; silver dressings

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MDPI and ACS Style

Gueltzow, M.; Khalilpour, P.; Kolbe, K.; Zoellner, Y. Budget Impact of Antimicrobial Wound Dressings in the Treatment of Venous Leg Ulcers in the German Outpatient Care Sector: A Budget Impact Analysis. J. Mark. Access Health Policy 2018, 6, 1527654. https://doi.org/10.1080/20016689.2018.1527654

AMA Style

Gueltzow M, Khalilpour P, Kolbe K, Zoellner Y. Budget Impact of Antimicrobial Wound Dressings in the Treatment of Venous Leg Ulcers in the German Outpatient Care Sector: A Budget Impact Analysis. Journal of Market Access & Health Policy. 2018; 6(1):1527654. https://doi.org/10.1080/20016689.2018.1527654

Chicago/Turabian Style

Gueltzow, Maria, Poroshat Khalilpour, Katharina Kolbe, and York Zoellner. 2018. "Budget Impact of Antimicrobial Wound Dressings in the Treatment of Venous Leg Ulcers in the German Outpatient Care Sector: A Budget Impact Analysis" Journal of Market Access & Health Policy 6, no. 1: 1527654. https://doi.org/10.1080/20016689.2018.1527654

APA Style

Gueltzow, M., Khalilpour, P., Kolbe, K., & Zoellner, Y. (2018). Budget Impact of Antimicrobial Wound Dressings in the Treatment of Venous Leg Ulcers in the German Outpatient Care Sector: A Budget Impact Analysis. Journal of Market Access & Health Policy, 6(1), 1527654. https://doi.org/10.1080/20016689.2018.1527654

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