Eldre pasienter i sykehus eller i intermediaeravdeling i sykehjem - en kostnadsanalyse
Engelsk titel: Elderly patients in hospital or in an intermediate nursing home department - cost analysis
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Författare:
Garåsen H
;
Magnussen J
;
Windspoll R
;
Johnsen R
Email: helge.garasen@ntnu.no
Språk: Nor
Antal referenser: 22
Dokumenttyp:
Artikel
UI-nummer: 08021317
Sammanfattning
INTERPRETATION : Care at an intermediate level in a community hospital in Trondheim was given for a lower cost compared to that given in a general hospital. The main reason for the difference was the reduction in readmission costs.
RESULTS : Mean costs for treatment of the disease in question at the time of inclusion were 39,650 NOK (95% CI 30,996-48,304) in the community hospital group and 73,417 NOK (95 % CI 52,992-93,843) in the general hospital group (p < 0.01). No significant differences were found for the municipality and general hospital care costs during follow-up, except for readmissions. Mean health service costs per patient per observed day were 606 NOK (95% CI 450-761) for the community hospital group and 802 NOK (95 % CI 641-962) for the general hospital group (p = 0.03).
MATERIAL AND METHODS : 142 patients older than 60 years and admitted to the city general hospital (due to an acute illness or exacerbation of a chronic disease) were randomised to one of the two types of care. Patients were followed for one year or until death and costs for care were monitored.
BACKGROUND : This paper compares the cost efficacy of care at an intermediate level in a community hospital or a conventional prolonged treatment in a general hospital.