Abstract
OBJECTIVE--To compare the outcome and cost of care for leg ulcers in community leg ulcer clinics in Stockport District Health authority with Trafford District Health Authority as a control. DESIGN--Detailed cost and efficacy studies conducted prospectively over a three month period in both districts both before and one year after the introduction of five leg ulcer clinics in Stockport. SETTING--Two large district health authorities of broad socioeconomic mix and total population of 540,000. PATIENTS--All patients receiving treatment for an active leg ulcer, irrespective of the profession or location of their carer. MAIN OUTCOME MEASURES--The proportion of ulcerated limbs completely healed within three months and total cost of leg ulcer care. RESULTS--The introduction of community clinics in Stockport improved healing of leg ulcers from 66/252 (26%) in 1993 to 99/233 (42%) in 1994 (P < 0.001) compared with in Trafford, where 47/203 (23%) healed in 1993 and only 43/213 (20%) in 1994. This improved result in Stockport was achieved while the annual expenditure on care of leg ulcers was reduced from 409,991 pounds to only 253,371 pounds. In the same year the cost of leg ulcer care in Trafford increased from 556,039 pounds to 673,318 pounds. CONCLUSION--In the first year after the introduction of community clinics, before most patients in Stockport had access to these clinics, healing of leg ulcers was already improved whereas costs were reduced.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Callam M. J., Harper D. R., Dale J. J., Ruckley C. V. Chronic ulcer of the leg: clinical history. Br Med J (Clin Res Ed) 1987 May 30;294(6584):1389–1391. doi: 10.1136/bmj.294.6584.1389. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Callam M. J., Ruckley C. V., Dale J. J., Harper D. R. Hazards of compression treatment of the leg: an estimate from Scottish surgeons. Br Med J (Clin Res Ed) 1987 Nov 28;295(6610):1382–1382. doi: 10.1136/bmj.295.6610.1382. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Freak L., Simon D., Kinsella A., McCollum C., Walsh J., Lane C. Leg ulcer care: an audit of cost-effectiveness. Health Trends. 1995;27(4):133–136. [PubMed] [Google Scholar]
- Moffatt C. J., Dorman M. C. Recurrence of leg ulcers within a community ulcer service. J Wound Care. 1995 Feb;4(2):57–61. doi: 10.12968/jowc.1995.4.2.57. [DOI] [PubMed] [Google Scholar]
- Moffatt C. J., Franks P. J., Oldroyd M., Bosanquet N., Brown P., Greenhalgh R. M., McCollum C. N. Community clinics for leg ulcers and impact on healing. BMJ. 1992 Dec 5;305(6866):1389–1392. doi: 10.1136/bmj.305.6866.1389. [DOI] [PMC free article] [PubMed] [Google Scholar]