A social return on investment analysis of improving the management of chronic obstructive pulmonary disease within the spanish national healthcare system
Author
Merino, María
Martín Lorenzo, Teresa
Maravilla-Herrera, P.
Ancochea, julio
Gómez Sáenz, JT
Hass, Nicole
MOLINA, JESUS
Peces-Barba, G.
Trapero-Bertran, Marta
trigueros, juan antonio
Hidalgo, Alvaro
Publication date
2022ISSN
1178-2005
Abstract
Purpose: To define a set of proposals that would improve the current management of chronic obstructive pulmonary disease (COPD) within the Spanish National Healthcare System (SNHS) from a comprehensive multidisciplinary perspective and to assess the impact of its implementation from clinical, healthcare, economic, and social perspectives. Patients and Methods: A group of 20 stakeholders related to COPD (healthcare professionals, patients, and informal caregivers, among others) participated in an online Delphi process to agree on a set of 15 proposals that would improve the current management of COPD within the SNHS in four areas: diagnosis, risk stratification, management of exacerbations, and management of stable COPD. A one-year forecast-type social return on investment (SROI) analysis was used to estimate the impact that implementing the set of proposals would have in relation to the investment required. A sensitivity analysis was used to test the strength of the model when varying assumption-based data-points. Results: The hypothetical implementation of the complete set of 15 proposals would require a € 668 million investment and would generate a € 2079 million social impact concerning savings for the SNHS and quality of life improvements for patients and their informal caregivers, among others. Accordingly, for every euro invested in the set of proposals, a social return of € 3.11 would be generated (€ 2.71 in the worst-case scenario and € 3.62 in the best-case scenario) of both tangible (32.56%) and intangible nature (67.44%). Conclusion: Altogether, implementing this set of 15 proposals would generate a positive social impact, threefold the required investment. The results may inform decisions relative to healthcare policy and practice regarding COPD management within the SNHS, further contributing to reduce the large burden of COPD.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
616.2 - Pathology of the respiratory system. Complaints of the respiratory organs
Keywords
Gestió de malalties
Malalties cròniques
Avaluació econòmica
Impacte social
Espanya
Manejo de enfermedades
Enfermedad crónica
Enfermedad respiratoria
Evaluación económica
Impacto social
España
Disease management
Chronic disease
Respiratory disease
Economic evaluation
Social impact
Spain
Pages
12
Publisher
Dove Press
Collection
2022; 17
Is part of
International Journal of Chronic Obstructive Pulmonary Disease
Citation
Merino, María; Martín Lorenzo, Teresa; Maravilla-Herrera, P. [et al.]. A social return on investment analysis of improving the management of chronic obstructive pulmonary disease within the spanish national healthcare system. International Journal of Chronic Obstructive Pulmonary Disease, 2022, 17, p. 1431-1442. Disponible en: <https://www.dovepress.com/a-social-return-on-investment-analysis-of-improving-the-management-of--peer-reviewed-fulltext-article-COPD>. Fecha de acceso: 14 oct. 2022. DOI: 10.2147/COPD.S361700
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- Ciències de la Salut [740]
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