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Background A nurse shortage in Canada is contributing to large amounts of paid/unpaid overtime and increased laborrelated expenditures. Shifting PID/SID patients from hospital-based IVIg to less labor-intensive home-based SCIg can improve their quality of life and treatment satisfaction [1] and may improve efficient allocation of nurse staff. The objectives for this study were to estimate the return on investment in the upfront cost in nursing time for patient training and the number of PID/SID patients needed to be switched to SCIg to gain one full-time nurse equivalent (FTE).

allergy, asthma and clinical immunology/allergy, asthma, and clinical immunology

Implications to payers of switch from hospital-based intravenous immunoglobulin (IVIg) to home-based subcutaneous immunoglobulin (SCIg) therapy in patients with primary immunodeficiencies (PID) and secondary immunodeficiencies (SID) in Canada