To examine the cost of providing hospital at home in place of some forms of inpatient hospital care.
Cost minimisation study within a randomised controlled trial.
District general hospital and catchment area of neighbouring community trust Subjects :
Patients recovering from hip replacement (n=86), knee replacement (n=86), and hysterectomy (n=238) ;
elderly medical patients (n=96) ;
and patients with chronic obstructive airways disease (n=32).
Hospital at home or inpatient hospital care.
Cost of hospital at home scheme to health service, to general practitioners, and to patients and their families compared with hospital care.
No difference was detected in total healthcare costs between hospital at home and hospital care for patients recovering from a hip or knee replacement, or elderly medical patients.
Hospital at home significantly increased healthcare costs for patients recovering from a hysterectomy (ratio of geometrical means 1.15,95% confidence interval 1.04 to 1.29, P=0.009) and for those with chronic obstructive airways disease (Mann-Whitney U test P=0.01).
Hospital at home significantly increased general practitioners'costs for elderly medical patients (Mann-Whitney U test P<0.01) and for those with chronic obstructive airways disease (P=0.02).
Patient and carer expenditure made up a small proportion of total costs. (...)
Mots-clés Pascal : Soin intégré, A domicile, Randomisation, Hospitalisation, Etude comparative, Essai thérapeutique contrôlé, Analyse coût efficacité, Homme, Angleterre, Grande Bretagne, Royaume Uni, Europe, Economie santé
Mots-clés Pascal anglais : Managed care, At home, Randomization, Hospitalization, Comparative study, Controlled therapeutic trial, Cost efficiency analysis, Human, England, Great Britain, United Kingdom, Europe, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0302381
Code Inist : 002B30A04B. Création : 27/11/1998.