Impact of long-term home care on hospital and nursing home use and cost.
Hughes, S L
This article reports the long-range impact of a long-term home care program in Chicago on hospital and nursing home use and on overall health care costs over four client-years of observation. The evaluation utilized a quasi-experimental design with a comparison group composed of clients who received home-delivered meals. The health services utilization experience of consecutively accepted treatment (N = 157) and comparison group (N = 156) subjects was monitored for 48 client-months following acceptance to care. Imputed costs were then assigned to each type of care measured. Findings include a significantly lower risk of permanent admission to sheltered and intermediate-level nursing home care in the treatment group but no difference in risk of permanent admission to skilled-level nursing home care. Despite savings in low-intensity nursing home days, preliminary findings indicate that total costs of care were 25 percent higher in the treatment group. However, these costs are accompanied by significant quality-of-life benefits in the treatment group (reported elsewhere).
ACESSO AO ARTIGOhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1065421
- Impact of long-term home care on mortality, functional status, and unmet needs.
- Nursing home admission risk and the cost-effectiveness of community-based long-term care: a framework for analysis.
- Use of nursing homes by a high-risk long-term care population.
- Transitions from home to nursing home in a capitated long-term care program: the role of individual support systems.
- Quality of long-term care in nursing homes and swing-bed hospitals.