Ultrasound-guided Cannulation. A Health Economic Consideration

Inhaltsverzeichnis (Table of Contents)

• Introduction, Objective, Questions
• Introduction
• Objective
• Research questions
• Theoretical background
• Definitions
• Haemodialysis
• Classification of vascular access
• Ultrasound and doppler technology in medicine
• Historical development and technology of doppler sound
• Historical development
• Technology of ultrasound
• Empirical findings on ultrasound-guided venepuncture
• Methodical approach
• The use of ultrasound-guided shunt cannulation
• Economic evaluation of different types of care
• Costs and revenues in dialysis therapy
• Costs of therapy from payer's perspective
• Costs of therapy from hospital perspective
• Costs of therapy from dialysis centre perspective
• Opportunity costs of dialysis centres
• Revenue elements
• Revenue of hospitals
• Revenue of dialysis centres
• Cost-benefit analysis
• Cost-benefit analysis from payer's perspective
• Cost-benefit analysis from hospital perspective
• Cost-benefit analysis from dialysis centre perspective
• Expected outcome
• Use of ultrasound technology for payer and service providers
• Use of ultrasound technology from payer's perspective
• Use of ultrasound technology from hospital perspective
• Use of ultrasound technology from dialysis centre perspective
• Shunt cannulation, shunt survival and Quality of life
• Cannulation quality and shunt survival
• Quality of life
• Summery and reference to research questions
• Monetary benefit
• Acceptance by patients
• Cannulation quality and shunt survival
• Critical view and further research needs

Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)

This master thesis aims to evaluate the health economics of ultrasound-guided cannulation for haemodialysis patients. It explores the costs and benefits of this procedure for various stakeholders, including payers, hospitals, and dialysis centres. The study also investigates the potential impact of ultrasound-guided cannulation on shunt survival, cannulation quality, and patient quality of life.

• Health economic evaluation of ultrasound-guided cannulation for haemodialysis patients
• Cost-benefit analysis from the perspectives of payers, hospitals, and dialysis centres
• Impact of ultrasound-guided cannulation on shunt survival and cannulation quality
• Patient acceptance and quality of life considerations
• Identification of research needs and future directions

Zusammenfassung der Kapitel (Chapter Summaries)

• Introduction, Objective, Questions: This chapter introduces the topic of ultrasound-guided cannulation for haemodialysis patients and outlines the objective and research questions of the study. It emphasizes the importance of efficient and safe vascular access for haemodialysis patients.
• Theoretical background: This chapter provides essential definitions related to haemodialysis, vascular access, and ultrasound technology. It reviews the historical development and current state of ultrasound technology in medicine.
• Methodical approach: This chapter describes the methodology used in the study, including the data sources, research methods, and analytical techniques employed to evaluate the health economics of ultrasound-guided cannulation.
• The use of ultrasound-guided shunt cannulation: This chapter delves into the practical aspects of ultrasound-guided cannulation, discussing its advantages and potential complications. It also examines the existing literature on the use of ultrasound technology for this procedure.
• Economic evaluation of different types of care: This chapter focuses on the economic analysis of ultrasound-guided cannulation, considering the costs and revenues associated with this procedure from different perspectives, including payers, hospitals, and dialysis centres.
• Expected outcome: This chapter explores the expected outcomes of using ultrasound technology for haemodialysis patients, considering factors such as cost-effectiveness, patient acceptance, and impact on shunt survival and quality of life.

Schlüsselwörter (Keywords)

The key terms and concepts of this master thesis include haemodialysis, vascular access, ultrasound-guided cannulation, health economics, cost-benefit analysis, shunt survival, cannulation quality, patient acceptance, and quality of life. The study also investigates the implications of ultrasound technology for various stakeholders involved in the care of haemodialysis patients, including payers, hospitals, and dialysis centres.