Cost and Effectiveness of Long-Term Care Following Integrated Discharge Planning: A Prospective Cohort Study
Rattachement africain : tw. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Little is known about the effects of seamless hospital discharge planning on long-term care (LTC) costs and effectiveness. This study evaluates the cost and effectiveness of the recently implemented policy from hospital to LTC between patients discharged under seamless transition and standard transition. A total of 49 elderly patients in the standard transition cohort and 119 in the seamless transition cohort were recruited from November 2016 to February 2018. Data collected from medical records included the Multimorbidity Frailty Index, Activities of Daily Living Scale, and Malnutrition Universal Screening Tool during hospitalization. Multiple linear regression and Cox regression models were used to explore risk factors for medical resource utilization and medical outcomes. After adjustment for effective predictors, the seamless cohort had lower direct medical costs, a shorter length of stay, a higher survival rate, and a lower unplanned readmission rate compared to the standard cohort. However, only mean total direct medical costs during hospitalization and 6 months after discharge were significantly (p < 0.001) lower in the seamless cohort (USD 6192) compared to the standard cohort (USD 8361). Additionally, the annual per-patient economic burden in the seamless cohort approximated USD 2.9–3.3 billion. Analysis of the economic burden of disability in the elderly population in Taiwan indicates that seamless transition planning can save approximately USD 3 billion in annual healthcare costs. Implementing this policy would achieve continuous improvement in LTC quality and reduce the financial burden of healthcare on the Taiwanese government.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Cost and Effectiveness of Long-Term Care Following Integrated Discharge Planning: A Prospective Cohort Study
- Date Crossref
- 21/10/2021
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Kaohsiung Medical University Department of Healthcare Administration and Medical Informatics pays non établi dans la noticeUniversité ou école supérieure
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Ministry of Health and Welfare pays non établi dans la noticeOrganisme public
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Kaohsiung Veterans General Hospital Center for Geriatrics and Gerontology pays non établi dans la noticeOrganisme public
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National Yang Ming Chiao Tung University Aging and Health Research Center pays non établi dans la noticeUniversité ou école supérieure
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National Sun Yat-sen University Department of Business Management pays non établi dans la noticeUniversité ou école supérieure
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Asia University Department of Healthcare Administration pays non établi dans la noticeUniversité ou école supérieure
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Chi Mei Medical Center Department of Geriatrics and Center for Integrative Medicine pays non établi dans la noticeÉtablissement de santé
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Taipei City Government pays non établi dans la noticeOrganisme public
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National Pingtung University of Science and Technology Graduate Institute of Technological and Vocational Education pays non établi dans la noticeUniversité ou école supérieure
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China Medical University Department of Medical Research pays non établi dans la noticeUniversité ou école supérieure
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Kaohsiung Medical University Chung-Ho Memorial Hospital pays non établi dans la noticeÉtablissement de santé
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China Medical University Hospital pays non établi dans la noticeÉtablissement de santé
Department of Healthcare Administration and Medical Informatics — Kaohsiung Medical University, Ministry of Health and Welfare et Center for Geriatrics and Gerontology — Kaohsiung Veterans General Hospital, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.