Wolke R, Hennings D, Scheu P
Hochschule Esslingen, Fakultät für Soziale Arbeit, Gesundheit und Pflege, Flandernstr. 101, 73732 Esslingen.
Z Gerontol Geriatr. 2007 Jun;40(3):158-77. doi: 10.1007/s00391-007-0440-8.
By developing evidence-based, national Expert Standards, agreed-upon by an association of nursing professionals, the German Care Science participates in the international discussion. Up to now, five National Expert Standards on relevant care-related topics have been developed and have been widely implemented in Care Practice. However, sufficient evaluations of these Expert Standards are still required, especially from an economic perspective. The following paper addresses this topic by performing a cost-benefit analysis for the National Expert Standard Prophylaxis of Pressure Ulcers. The authors demonstrate which costs are caused by the implementation of this National Expert Standard for a residential care agency providing services. The benefit of the implementation of the Expert Standard is then being compared to its cost for a period of three years. The evaluation concludes that, in consideration of opportunity costs, the introduction of the National Expert Standard Prophylaxis of Pressure Ulcers appears economically viable for the residential care agency only if the rate of pressure ulcers in the reference agency can be lowered at least by 26.48%. In this case, when exclusively considering direct benefits and direct costs, a positive impact of the implementation will be achieved.
通过制定基于证据的国家专家标准（该标准由护理专业人员协会商定），德国护理科学参与了国际讨论。到目前为止，已经制定了五项关于相关护理主题的国家专家标准，并已在护理实践中广泛实施。然而，仍然需要对这些专家标准进行充分评估，特别是从经济角度。以下论文通过对国家压力性溃疡预防专家标准进行成本效益分析来探讨这一主题。作者展示了为一家提供服务的养老院实施该国家专家标准会产生哪些成本。然后将专家标准实施的效益与其三年期成本进行比较。评估得出结论，考虑到机会成本，只有当参考机构的压力性溃疡发生率至少降低26.48%时，引入国家压力性溃疡预防专家标准对养老院来说在经济上才可行。在这种情况下，仅考虑直接效益和直接成本时，实施将产生积极影响。
