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Titolo:
Comparisons of the cost-effectiveness among hospital chronic care, nursinghome placement, home nursing care and family care for severe stroke patients
Autore:
Chiu, L; Shyu, WC; Liu, YH;
Indirizzi:
Sch Kang Ning Jr Coll Nursing, Taipei 114, Taiwan Sch Kang Ning Jr Coll Nursing Taipei Taiwan 114 sing, Taipei 114, Taiwan Mackay Mem Hosp, Dept Neurol, Taipei, Taiwan Mackay Mem Hosp Taipei Taiwan kay Mem Hosp, Dept Neurol, Taipei, Taiwan Taipei Med Coll, Student Counseling Ctr, Taipei, Taiwan Taipei Med Coll Taipei Taiwan l, Student Counseling Ctr, Taipei, Taiwan
Titolo Testata:
JOURNAL OF ADVANCED NURSING
fascicolo: 3, volume: 33, anno: 2001,
pagine: 380 - 386
SICI:
0309-2402(200102)33:3<380:COTCAH>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Keywords:
cost-effectiveness analysis; home nursing care; family care; nursing home care;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Chiu, L Sch Kang Ning Jr Coll Nursing, 137,Lane 75,Sect 3,Kang Ning Rd, Taipei 114, Taiwan Sch Kang Ning Jr Coll Nursing 137,Lane 75,Sect 3,Kang NingRd Taipei Taiwan 114
Citazione:
L. Chiu et al., "Comparisons of the cost-effectiveness among hospital chronic care, nursinghome placement, home nursing care and family care for severe stroke patients", J ADV NURS, 33(3), 2001, pp. 380-386

Abstract

Aim. This study compared the cost and effectiveness of long-term institutional care and home care for stroke patients with severe physical disabilities. Background. Whether home care is more economical or effective than institutional care for patients with chronic illnesses remains controversial when the cost of family labour is considered. Thus, decisions concerning the appropriate type of care setting for patients with severe chronic illness remain difficult. Methods. From November 1995 to March 1996, 313 hospitalized stroke patients with severe physical disabilities treated at one of five hospitals in theTaipei metropolitan area were followed from the day of hospital discharge until the third month after discharge. These 313 patients were divided intofour groups as follows: (1) 106 who were admitted to a chronic care unit in a hospital, (2) 60 who were admitted to nursing homes, (3) 60 who received professional home nursing care and (4) 87 who returned home without receiving professional care. The change of physical functional status in the patient was examined as the difference between activities of daily living (ADL) scores measured at discharge and at the end of the third month after discharge. Results. Information on family costs for caregiving, including pay for long-term services utilized, labour costs for caregiving and out-of-pocket expenditures for miscellaneous materials was obtained during a weekly telephone interview. The results indicated that caring for patients in their own homes was not only more expensive but was also less effective in improving ADL scores than caring for patients in nursing homes and in chronic care units of hospitals. Conclusions. The results suggest that caring for patients with severe physical disabilities in institutions is more appropriate than caring of them at home.

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Documento generato il 03/04/20 alle ore 10:21:22