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Review
. 2016 Jul;13 Suppl 2(Suppl 2):5-15.
doi: 10.1111/iwj.12623.

Wound management for the 21st century: combining effectiveness and efficiency

Christina Lindholm  1 , Richard Searle  2
Affiliations
Review

Wound management for the 21st century: combining effectiveness and efficiency

Christina Lindholm et al. Int Wound J. 2016 Jul.

Abstract

Treatment of wounds of different aetiologies constitutes a major part of the total health care budget. It is estimated that 1·5-2 million people in Europe suffer from acute or chronic wounds. These wounds are managed both in hospitals and in community care. The patients suffering from these wounds report physical, mental and social consequences of their wounds and the care of them. It is often believed that the use of wound dressings per se is the major cost driver in wound management, whereas in fact, nursing time and hospital costs are together responsible for around 80-85% of the total cost. Healing time, frequency of dressing change and complications are three important cost drivers. However, with the use of modern, advanced technology for more rapid wound healing, all these cost drivers can be substantially reduced. A basic understanding of the terminology and principles of Health Economics in relation to wound management might therefore be of interest.

Keywords: Efficiency; Health economics; Resources; Service improvement; Wound healing.

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Figures

Figure 1
Figure 1
Resources used in treating wounds.
Figure 2
Figure 2
Drivers of cost in wound management 9, 29.
Figure 3
Figure 3
MRSA at 31 300× magnification.
Figure 4
Figure 4
Reduction in ulcer area after single‐use negative pressure therapy (PICO†; †Trademark of Smith & Nephew) initiation 35.
Figure 5
Figure 5
Some ways of releasing resources.
Figure 6
Figure 6
Early intervention to reduce long‐duration wounds 35.
See this image and copyright information in PMC

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