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  1. Randomised controlled trial comparing hospital at home care with inpatient hospital care. II : cost minimisation analysis.

    Article - En anglais

    Objectives 

    To examine the cost of providing hospital at home in place of some forms of inpatient hospital care.

    Design 

    Cost minimisation study within a randomised controlled trial.

    Setting 

    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).

    Interventions 

    Hospital at home or inpatient hospital care.

    Main outcome measures 

    Cost of hospital at home scheme to health service, to general practitioners, and to patients and their families compared with hospital care.

    Results 

    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

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

    Cote : 98-0302381

    Code Inist : 002B30A04B. Création : 27/11/1998.