logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Economic cost of home-based care for ventilator-assisted individuals : A preliminary report.

    Article - En anglais

    Study objective 

    To measure the direct and indirect costs of maintaining a ventilator-assisted individual (VAI) at home.

    Design 

    A cross-sectional survey was conducted of primary family care givers of VAIs residing in 37 states.

    Setting 

    Surveys were delivered to the homes of VAIs.

    Participants 

    Two hundred seventy-seven (19.7%) of 1,404 primary family care givers of patients who were ventilator-dependent and who were living at home.

    Interventions 

    None.

    Measures 

    Participants received the modified Katz Index and an investigator-developed Home Ventilator Care Cost and Utilization Survey (HVCCUS).

    Results 

    Total cost of care was determined by summing total direct medical and nonmedical costs of home care and lost wages.

    Using LPN rates for private duty care, the average total cost of care was estimated to be $7,642 per month (median=$5,406).

    Using RN rates for private duty care, the average total cost of home care was estimated to be $8,596 per month (median=$5,911).

    Variation with VAI characteristics is discussed.

    Conclusions 

    Home care of VAIs is a labor-intensive and an economically costly undertaking.

    The development of policies and programs to support home placement requires additional investigation regarding factors affecting the cost-effectiveness of various placement settings, as well as the ability and/or willingness of family members to accept the cost and responsibility of home care.

    Mots-clés Pascal : Ventilation assistée, Appareil, A domicile, Coût, Homme, Ventilation artificielle, Traitement instrumental

    Mots-clés Pascal anglais : Assisted ventilation, Apparatus, At home, Costs, Human, Artificial ventilation, Instrumentation therapy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0319690

    Code Inist : 002B27B02. Création : 10/04/1997.