Cost comparison of hospital- and home-based treatment models for acute chronic obstructive pulmonary disease

Nicholson, Caroline, Bowler, Simon, Jackson, Claire L., Schollay, Dimity, Tweedale, Margaret and O'Rourke, Peter K. (2001) Cost comparison of hospital- and home-based treatment models for acute chronic obstructive pulmonary disease. Australian Health Review, 24 4: 181-187.


Author Nicholson, Caroline
Bowler, Simon
Jackson, Claire L.
Schollay, Dimity
Tweedale, Margaret
O'Rourke, Peter K.
Title Cost comparison of hospital- and home-based treatment models for acute chronic obstructive pulmonary disease
Journal name Australian Health Review   Check publisher's open access policy
ISSN 0156-5788
1449-8944
Publication date 2001
Sub-type Article (original research)
Volume 24
Issue 4
Start page 181
End page 187
Total pages 7
Place of publication Collingwood, VIC, Australia
Publisher C S I R O Publishing
Collection year 2002
Subject C1
321299 Public Health and Health Services not elsewhere classified
730299 Public health not elsewhere classified
Abstract This trial compared the cost of an integrated home-based care model with traditional inpatient care for acute chronic obstructive pulmonary disease (COPD). 25 patients with acute COPD were randomised to either home or hospital management following request for hospital admission. The acute care at home group costs per separation ($745, CI95% $595-$895, n = 13) were significantly lower (p < 0.01) than the hospital group ($2543, CI95% $1766-$3321, n = 12). There was an improvement in lung function in the hospital-managed group at the Outpatient Department review, decreased anxiety in the Emergency Department in the home-managed group and equal patient satisfaction with care delivery. Acute care at home schemes can substitute for usual hospital care for some patients without adverse effects, and potentially release resources. A funding model that allows adequate resource delivery to the community will be needed if there is a move to devolve acute care to community providers.
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Tue, 14 Aug 2007, 19:03:10 EST