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Project Title A proposal to establish a Patient Counselling Service to increase compliance to medicinal treatment

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Introduction

A business case on the establishment of a Patient Counselling Service to increase compliance to medicinal treatment Module Number: P44813 Module Title: Managing Finance in Health & Social Care Organisations Student Name: Mohammed Nazmul Ahsan Student Number: 06108646 Tutor: Dr. Neil Wheeler Abstract This is a proposal for the establishment of a patient counselling service to ensure patients' compliance to medicine. The patients in Bangladesh who are prescribed Erythropoietin (EPO) to treat anaemia due to Chronic Renal Failure (CRF) often stop taking the therapy because they do not understand the importance of taking the therapy & the possible consequences of non-compliance. Again, the number of Nephrologists in Bangladesh is so low that they do not have the time to counsel the patients regarding EPO therapy. To ensure medicinal compliance and to assist the Nephrologists, a patient counselling service needed to be established with funding from Roche Bangladesh Limited. Environmental analysis using SWOT and TOWS analyses has been done. A Stakeholder analysis has been done to identify the stakeholders involved. Appropriate options were identified and cost-benefit analysis was done to identify the best option. Finally, establishment of a patient counselling service with a nurse has been recommended. Table of Contents 1. Introduction ........................................................ ...read more.

Middle

to Iles (1998), a TOWS analysis has been done below: Strengths Weaknesses Opportunities * Commitment of the company will help to establish a patient counselling service * High-tech molecules can meet the patients' need for a better life * Financial weakness on the company will lead to unavailability of the required fund Threats * A highly committed, free counselling service aiming at delivering a better treatment can convince the authorities on ethical issues * Ethical issues might influence the management not to provide the fund Analyses of findings from SWOT and TOWS Despite of having financial constrains, the commitment of the company towards a better healthcare service delivery will lead to the availability of the fund required for the establishment of a patient counselling service. Again, the possession of new and high-tech medicinal molecules will enable the patient counselling service to convince the patients to continue the therapy which in turn will lead to a better efficacy & patient satisfaction. The ethical issues which might be raised by the competitors can be managed when the patients are satisfied and the government understands the need for such a counselling service. The SWOT & TOWS analysis suggests the establishment of a patient counselling service involving the minimum cost & considering the ethical issues. ...read more.

Conclusion

* The room needs to be decorated every 7 years. * The PC needs to be changed every 5 years * Services will be shared by 12 people. * There is no overhead since the fund comes from the profit margin of local sales. Option-C: Counselling by a Nurse Salary (FT) 7000 7000 On Costs 15% X 10000 1050 Office Building 240000/40/12 500 Interior decoration 2800/7 400 Materials 1400 1400 Personal Computer (PC) 1000/5 200 Services 2400/12 200 TOTAL 10750 * The costs are much lower in Bangladesh than in UK * All costs have been recorded in British Pound Sterling * The service will be provided within an existing room of the building which has a life of 40 years and will be used by 12 people. * The room needs to be decorated every 7 years. * The PC needs to be changed every 5 years * Services will be shared by 12 people. * There is no overhead since the fund comes from the profit margin of local sales. 6. Cost Benefit Analysis Option A Option B Option C Benefits 0 595 475 Cost 0 16500 10750 Cost/Benefit 0 27.73 22.63 Benefit/Cost 0 0.036 0.044 7. Recommendation According to the findings of cost benefit analysis, establishment of a patient counselling service with a nurse (Option-C) is recommended. 8. ...read more.

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