Healthcare resource use in patients of the Australian Transition Care Program

Comans, Tracy A., Peel, Nancye M., Cameron, Ian D., Gray, Leonard. and Scuffham, Paul A. (2015) Healthcare resource use in patients of the Australian Transition Care Program. Australian Health Review, 39 4: 411-416. doi:10.1071/AH14054


Author Comans, Tracy A.
Peel, Nancye M.
Cameron, Ian D.
Gray, Leonard.
Scuffham, Paul A.
Title Healthcare resource use in patients of the Australian Transition Care Program
Journal name Australian Health Review   Check publisher's open access policy
ISSN 0156-5788
1449-8944
Publication date 2015-03-30
Year available 2015
Sub-type Article (original research)
DOI 10.1071/AH14054
Open Access Status Not Open Access
Volume 39
Issue 4
Start page 411
End page 416
Total pages 6
Place of publication Clayton, Victoria, Australia
Publisher CSIRO Publishing
Language eng
Abstract Objective. The aim of the present study was to describe, from the perspective of the healthcare funder, the cost components of the Australian Transition Care Program (TCP) and the healthcare resource use and costs for a group of transition care clients over a 6-month period following admission to the program.
Formatted abstract
Objective. The aim of the present study was to describe, from the perspective of the healthcare funder, the cost components of the Australian Transition Care Program (TCP) and the healthcare resource use and costs for a group of transition care clients over a 6-month period following admission to the program.

Methods. A prospective cohort observational study of 351 consenting patients entering community-based transition care at six sites in two states in Australia from November 2009 to September 2010 was performed. Patients were followed up 6 months after admission to the TCP to ascertain current living status and hospital re-admissions over the follow-up period. Cost data were collected by transition care teams and from administrative data (hospital and Medicare records).

Results. The TCP provides a range of services with most costs attributed to provision of personal care support, case management, physiotherapy and occupational therapy. Most healthcare costs up to 6 months after transition care admission were incurred from the hospital admission leading to transition care and from re-admissions. Orthopaedic conditions incurred the highest costs, with many of these for elective procedures and others resulting from falls. Hospital re-admission rates in the present study were 10% lower than in a previous evaluation of the TCP. Over 6 months, approximately 40% of patients in the study were re-admitted to hospital at an average cost of A$7038.

Conclusions. Although the cost of the TCP is relatively high, it may have some impact on reducing hospital re-admissions and preventing or delaying residential care admissions.
Keyword Health Care Sciences & Services
Health Policy & Services
Health Care Sciences & Services
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID 402791
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Centre for Research in Geriatric Medicine Publications
Official 2016 Collection
School of Medicine Publications
 
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