Prostate Cancer Specialist Nursing Program: A Social Return on Investment Analysis Value for Money of the Prostate Cancer Specialist Nursing Program

Article

Edmunds, Kim, Wang, Yufan, Sara, Sally, Riley, Bernie, Heneka, Nicole and Tuffaha, Haitham. 2025. "Prostate Cancer Specialist Nursing Program: A Social Return on Investment Analysis Value for Money of the Prostate Cancer Specialist Nursing Program." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 34 (5). https://doi.org/10.1002/pon.70181
Article Title

Prostate Cancer Specialist Nursing Program: A Social Return on Investment Analysis Value for Money of the Prostate Cancer Specialist Nursing Program

ERA Journal ID6624
Article CategoryArticle
AuthorsEdmunds, Kim, Wang, Yufan, Sara, Sally, Riley, Bernie, Heneka, Nicole and Tuffaha, Haitham
Journal TitlePsycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer
Journal Citation34 (5)
Article Numbere70181
Number of Pages14
Year2025
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN1057-9249
1099-1611
Digital Object Identifier (DOI)https://doi.org/10.1002/pon.70181
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1002/pon.70181
Abstract

Background
In Australia, Prostate cancer (PCa) has a high survival rate (96%) meaning men with PCa may live with the impact of the disease for many years, even decades. The Prostate Cancer Foundation of Australia (PCFA) manages two Prostate Cancer Specialist Nursing (PCSN) programs: (1) A health service-based program and (2) A telenursing service. There is a paucity of economic evidence regarding the benefits of these programs so Social Return on Investment (SROI) methodology was used to determine social value and return on investment.

Methods
A SROI economic evaluation model was developed in consultation with the PCSN team augmented with published evidence to identify the costs and outcomes, and estimate the benefits associated with the delivery of the PCSN program over 2 years. Attribution, dead weight loss and discounting were calculated and sensitivity analyses were conducted to test the rigour of the model.

Results
The value generated by the PCSN programs over the 2-year period resulted in a SROI ratio of 1:1.62 for the health service-based PCSN program, indicating that for every dollar invested, a return of AUD $1.62 was obtained. The SROI ratios for the Telenursing program and the combined programs were 1:2.34 and 1:1.65, respectively.

Conclusion
Our study provides evidence that further expansion of the PCSN program is likely to have a positive return on investment and benefit the 250,000 men currently living with PCa in Australia. Findings such as these are important in informing cancer care policy and funding decisions.

Keywordscaregivers; cost‐benefit analysis; decision making; prostate cancer specialist nursing; prostatic neoplasms; quality of healthcare; quality of life; survivorship; telenursing
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420311. Health systems
321199. Oncology and carcinogenesis not elsewhere classified
420599. Nursing not elsewhere classified
Byline AffiliationsUniversity of Queensland
Centre for Health Research
Prostate Cancer Foundation of Australia
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