Retorno social de la inversión de un abordaje ideal de la Psoriasis

González, Almudena Nuño; Ivanova, Yoana; Jiménez, M. Casado; Merino, María; Hidalgo, Álvaro; Alfonso, Santiago; Carretero, G.; Ledesma, Albert; Sarquella, Ester; Blanch, Carles; Costa, Andréa Miúra da

doi:10.37666/i1-2016

Cited by 2 publications

(1 citation statement)

References 37 publications

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“…In subsequent revisions of the original SROI method, new principles and processes normally used in evaluations of economic and financial return on investment were added to create a framework capable of capturing the total economic, social, and environmental impact of the interventions . This method has recently been used in the SNHS in the areas of dermatology, cardiology, and oncology, as well as for the management of viral infections, such as human immunodeficiency virus, childhood bronchial asthma, spinal cord injuries, arterial hypertension and obesity, and paediatric cancer in other countries. However, the SROI method has not been applied to the management of HF.…”

Section: Introductionmentioning

confidence: 99%

The social return on investment of a new approach to heart failure in theSpanish National Health System

et al. 2020

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Aims We aim to agree on a set of proposals to improve the current management of heart failure (HF) within the Spanish National Health System (SNHS) and apply the social return on investment (SROI) method to measure the social impact that these proposals would generate. Methods and results A multidisciplinary working team of 16 experts was set up, with representation from the main stakeholders regarding HF: medical specialists (cardiologists, internal medicine physicians, general practitioners, and geriatric physicians), nursing professionals, health management professionals, patients, and informal caregivers. This team established a set of proposals to improve the management of HF according to the main areas of HF care: emergency and hospitalization, primary care, cardiology, and internal medicine. A forecast‐type SROI method, with a 1‐year time frame, was applied to measure the social impact resulting from the implementation of these proposals. The required investment and social return were estimated and summarized into a ratio indicating how much social return could be generated for each euro invested. Intangible returns were included and quantified through financial proxies. The approach to improve the management of HF consisted of 28 proposals, including the implementation of a case management nurse network, standardization of operational protocols, psychological support, availability of echocardiography machines at emergency departments, stationary units and primary care, early specialist visits after hospital discharge, and cardiac rehabilitation units, among others. These proposals would benefit not only patients and their informal caregivers but also the SNHS. Regarding patients, proposals would increase their autonomy in everyday activities, decrease anxiety, increase psychological and physical well‐being, improve pharmacological adherence and self‐care, enhance understanding of the disease, delay disease progression, expedite medical assessment, and prevent the decrease in work productivity associated with HF management. Regarding informal caregivers, proposals would increase their quality of life; improve their social, economic, and emotional well‐being; and reduce their care burden. The SNHS would benefit from shorter stays of HF patients at intensive care units and reduction of hospitalizations and admissions to emergency departments. The investment needed to implement these proposals would amount to €548m and yield a social return of €1932m, that is, €3.52 for each euro invested. Conclusions The current management of HF could be improved by a set of proposals that resulted in an overall positive social return, varying between areas of analysis. This may guide the allocation of healthcare resources and improve the quality of life of patients with HF.

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confidence: 99%

The social return on investment of a new approach to heart failure in theSpanish National Health System

et al. 2020

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Social value of a set of proposals for the ideal approach of multiple sclerosis within the Spanish National Health System: a social return on investment study

Torres

Fernández²,

Carrascal

et al. 2020

BMC Health Serv Res

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Background: Multiple Sclerosis (MS) is a chronic inflammatory, demyelinating and neurodegenerative disease that in many cases produces disability, having a high impact in patients' lives, reducing significantly their quality of life. The aim of this study was to agree on a set of proposals to improve the current management of MS within the Spanish National Health System (SNHS) and apply the Social Return on Investment (SROI) method to measure the potential social impact these proposals would create. Methods: A Multidisciplinary Working Team of nine experts, with representation from the main stakeholders regarding MS, was set up to agree on a set of proposals to improve the management of MS. A forecast SROI analysis was carried out, with a one-year timeframe. Data sources included an expert consultation, a narrative literature review and a survey to 532 MS patients. We estimated the required investment of a hypothetical implementation, as well as the potential social value that it could create. We calculated outcomes in monetary units and we measured intangible outcomes through financial proxies. Results: The proposed ideal approach revealed that there are still unmet needs related to MS that can be addressed within the SNHS. Investment would amount to 148 million € and social return to 272 million €, so each euro invested could yield almost €2 of social return. Conclusions: This study could guide health interventions, resulting in money savings for the SNHS and increases in patients' quality of life.

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Retorno social de la inversión de un abordaje ideal de la Psoriasis

Cited by 2 publications

References 37 publications

The social return on investment of a new approach to heart failure in theSpanish National Health System

The social return on investment of a new approach to heart failure in theSpanish National Health System

Social value of a set of proposals for the ideal approach of multiple sclerosis within the Spanish National Health System: a social return on investment study

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