{"id":180104,"date":"2023-04-21T09:45:21","date_gmt":"2023-04-21T08:45:21","guid":{"rendered":"https:\/\/www.directhealthcaregroup.com\/?page_id=180104"},"modified":"2023-05-16T20:08:22","modified_gmt":"2023-05-16T19:08:22","slug":"180104-2","status":"publish","type":"page","link":"https:\/\/www.directhealthcaregroup.com\/da\/viden-og-evidens\/180104-2\/","title":{"rendered":"Hvorfor billigst i indk\u00f8b ikke altid er billigst p\u00e5 sigt"},"content":{"rendered":"\n

<\/h1>\n\n\n\n

I Danmark bevilliges hj\u00e6lpemidler ud fra devisen \u2019bedst og billigst\u2019. Det betyder, at borgeren skal have det bedste hj\u00e6lpemiddel til den billigste pris. Det lyder umiddelbart fornuftigt, men har visse udfordringer i praksis, hvor \u00f8konomien alt for ofte s\u00e6ttes f\u00f8r borgerens og personalets behov.<\/p>\n\n\n\n

16. april 2019<\/p>\n\n\n\n

Dette sker fordi billigst defineres som billigst i indk\u00f8bspris fremfor billigst p\u00e5 sigt. Som resultat bevilliges de hj\u00e6lpemidler, der betragtes som dyre, kun som sidste udvej, n\u00e5r alt andet er afpr\u00f8vet, og n\u00e5r borgeren er rigtig d\u00e5rlig.<\/p>\n\n\n\n

Denne praksis s\u00e6tter et nyt projekt<\/a>, der er udarbejdet af Teknologisk Institut, nu sp\u00f8rgsm\u00e5lstegn ved. Der er nemlig meget at hente for personalets arbejdsmilj\u00f8 og borgerens plejekvalitet ved at implementere de rette hj\u00e6lpemidler tidligere. Og d\u00e9t sparer ogs\u00e5 kroner og \u00f8rer.<\/p>\n\n\n\n

Bevillingsprocessen er dyr<\/strong><\/h2>\n\n\n\n

Fordi kommunerne er forpligtede til at finde frem til det billigste hj\u00e6lpemiddel, afpr\u00f8ves flere forskellige hj\u00e6lpemidler gerne hos borgeren. Dette skaber en lang og kompliceret proces, der ikke mindst medf\u00f8rer en masse logistiske og administrative omkostninger, hvor hj\u00e6lpemidler sendes frem og tilbage.<\/p>\n\n\n\n

Og n\u00e5r et hj\u00e6lpemiddel endelig skal bevilliges, er det ikke alle omkostninger der medregnes i definitionen af \u2019billigst\u2019. I praksis kommer \u2019billigst\u2019 nemlig til at handle om indk\u00f8bsprisen fremfor de totale omkostninger, der er ved at k\u00f8be og eje et hj\u00e6lpemiddel. For udover indk\u00f8bsprisen kommer der ogs\u00e5 andre p\u00e5l\u00f8bende udgifter til hj\u00e6lpemidlet. Dette kan eksempelvis v\u00e6re, hvor ofte det skal skiftes ud eller bliver slidt op, og om det kan genanvendes til andre borgere i fremtiden.<\/p>\n\n\n\n

I l\u00f8bet af denne bevillingsproces skal plejepersonalet desuden fortsat arbejde i dumme, sk\u00e6ve og tunge arbejdsstillinger, og er i h\u00f8jrisiko for at p\u00e5drage sig arbejdsskader. Det kan f\u00f8re til sygedage og nedslidning \u2013 alt det vi gerne skal undg\u00e5 i denne tid, hvor der er mangel p\u00e5 h\u00e6nder i sundhedssektoren. Og d\u00e9t er b\u00e5de dyrt for samfundet, og kan have en r\u00e6kke personlige konsekvenser for medarbejderne. Derfor kan den billigste indk\u00f8bspris v\u00e6re et dyrere valg p\u00e5 sigt.
<\/p>\n\n\n\n

Tidlig implementering er bedst<\/strong><\/h2>\n\n\n\n

Et projekt udarbejdet af Teknologisk Institut, i samarbejde med fire danske kommuner; Aabenraa (projektleder), Ish\u00f8j, K\u00f8benhavn og Viborg, har evalueret effekten af elektriske vendesystemer. Her understreges det, at en tidlig implementering medf\u00f8rer st\u00f8rst fordele b\u00e5de for borger og personale.<\/p>\n\n\n\n

De fleste fordele h\u00f8stes nemlig, n\u00e5r personalet er rutinerede i brugen af teknologien, og n\u00e5r borgeren er blevet tryg ved den mekaniske forflytning. Derfor b\u00f8r et hj\u00e6lpemiddel som VENDLET ikke implementeres som sidste udvej men langt f\u00f8r, understreger projektet. Dette b\u00e5de forebygger sygefrav\u00e6r og arbejdsskader, og forbedrer plejekvaliteten for borgeren \u2013 kvaliteter der medf\u00f8rer besparelser, der ikke medregnes, n\u00e5r vi snakker bedst og billigst.<\/p>\n\n\n\n

Implementeres teknologien for sent er der risiko for, at gevinsterne, der kunne h\u00f8stes, g\u00e5r tabt. Derfor opfordrer projektet til, at borgerens behov og udfordringer i personalets arbejdsmilj\u00f8 prioriteres fremfor at bruge tid p\u00e5 at finde frem til det billigst mulige hj\u00e6lpemiddel her og nu. I stedet b\u00f8r de potentielle langsigtede udgifter og besparelser medregnes. For s\u00e5dan en investering er billigere p\u00e5 lang sigt.<\/p>\n\n\n\n

Vil vi sikre personalets arbejdsmilj\u00f8, nedbringe arbejdsskader og have f\u00e6rre sygedage, s\u00e5 er tidlig implementering af de rette hj\u00e6lpemidler n\u00f8glen.
<\/p>\n\n\n\n

Forflytningsvejlederen skal have visiteringskompetencen<\/strong><\/h2>\n\n\n\n

Evalueringen anbefaler som \u2019Best Practice\u2019, at visiteringskompetencen i langt h\u00f8jere grad flyttes til forflytningsvejlederne, n\u00e5r det kommer til elektroniske vendesystemer. Denne anbefaling bygger p\u00e5, at elektroniske vendesystemer er et APV-hj\u00e6lpemiddel, som netop anvendes i forflytningssituationer. Derfor b\u00f8r forflytningsvejlederen have ansvaret for at godkende visiteringen af elektroniske vendesystemer hos en borger, med baggrund i personalets \u00f8nsker, da det er dem, der bedst kender arbejdsbyrden.<\/p>\n","protected":false},"excerpt":{"rendered":"

I Danmark bevilliges hj\u00e6lpemidler ud fra devisen \u2019bedst og billigst\u2019. Det betyder, at borgeren skal have det bedste hj\u00e6lpemiddel til den billigste pris. Det lyder umiddelbart fornuftigt, men har visse udfordringer i praksis, hvor \u00f8konomien alt for ofte s\u00e6ttes f\u00f8r borgerens og personalets behov. 16. april 2019 Dette sker fordi billigst defineres som billigst i … Continued<\/a><\/p>\n","protected":false},"author":40,"featured_media":180105,"parent":174696,"menu_order":69,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-180104","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"\nHvorfor billigst i indk\u00f8b ikke altid er billigst p\u00e5 sigt | DHG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.directhealthcaregroup.com\/da\/viden-og-evidens\/180104-2\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hvorfor billigst i indk\u00f8b ikke altid er billigst p\u00e5 sigt | DHG\" \/>\n<meta property=\"og:description\" content=\"I Danmark bevilliges hj\u00e6lpemidler ud fra devisen \u2019bedst og billigst\u2019. 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