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Titolo:
Cost-effectiveness of an innovative four-year post-discharge programme forelderly patients - Prospective follow-up of hospital and nursing home use in project elderly and randomized controls
Autore:
Anttila, SK; Huhtala, HS; Pekurinen, MJ; Pitkajarvi, TK;
Indirizzi:
Univ Tampere, Dept Social Serv & Hlth Care, FIN-33101 Tampere, Finland Univ Tampere Tampere Finland FIN-33101 Care, FIN-33101 Tampere, Finland Univ Tampere, Sch Publ Hlth, FIN-33101 Tampere, Finland Univ Tampere Tampere Finland FIN-33101 Hlth, FIN-33101 Tampere, Finland Univ Kuopio, Dept Hlth Policy & Management, FIN-70211 Kuopio, Finland UnivKuopio Kuopio Finland FIN-70211 nagement, FIN-70211 Kuopio, Finland
Titolo Testata:
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH
fascicolo: 1, volume: 28, anno: 2000,
pagine: 41 - 46
SICI:
1403-4948(200003)28:1<41:COAIFP>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONTROLLED TRIAL; CLINICAL-TRIAL; CARE; INTERVENTION; READMISSION; PEOPLE; REDUCE; STAY;
Keywords:
aged; prospective studies; intervention studies; health care costs; hospitals-utilization; nursing home utilization; patient education;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Anttila, SK Rauhaniemi Hosp, POB 98, FIN-33201 Tampere, Finland RauhaniemiHosp POB 98 Tampere Finland FIN-33201 ere, Finland
Citazione:
S.K. Anttila et al., "Cost-effectiveness of an innovative four-year post-discharge programme forelderly patients - Prospective follow-up of hospital and nursing home use in project elderly and randomized controls", SCAND J P H, 28(1), 2000, pp. 41-46

Abstract

The cost-effectiveness of a post-discharge programme on the use of hospital care and the continuity of care was assessed in an elderly cohort (n = 204) discharged from the city hospital. The participation rate was 97.6%, andthe patients were aged 75 years or over and lived alone. The randomized controls (n = 204) received standard aftercare. During the follow-up the costs of university hospital care decreased by 52% in the intervention group and by 24% in the control group per patient year, compared with the costs in the year preceding the project. This happened despite the higher morbidity in the intervention group in terms of fractures and the use of university hospital care in the year preceding the project. There was also a tendency in the intervention group for the previous non-users of university hospital carl to remain non-users during the follow-up. The costs of city hospital care increased by 16% and 5%, and of all hospital care by 1.3% and 0.2%, respectively. There were no differences in admissions to permanent care in thenursing homes. The intervention group did not make their first contact with the hospitals or permanent care in nursing homes earlier than the controlgroup during the follow-up. The co-operation between hospital and domiciliary care and voluntary workers was well-suited to the innovative care of the elderly people.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 22:12:49