دورية أكاديمية

Cost impact of the transitional care model for hospitalized cognitively impaired older adults.

التفاصيل البيبلوغرافية
العنوان: Cost impact of the transitional care model for hospitalized cognitively impaired older adults.
المؤلفون: Pauly MV; The Wharton School at the University of Pennsylvania, Philadelphia, PA, 19104, USA., Hirschman KB; NewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA., Hanlon AL; NewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA., Huang L; NewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA., Bowles KH; NewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA., Bradway C; NewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA., McCauley K; NewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA., Naylor MD; NewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA.
المصدر: Journal of comparative effectiveness research [J Comp Eff Res] 2018 Sep; Vol. 7 (9), pp. 913-922. Date of Electronic Publication: 2018 Sep 11.
نوع المنشور: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Becaris Publishing Country of Publication: England NLM ID: 101577308 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2042-6313 (Electronic) Linking ISSN: 20426305 NLM ISO Abbreviation: J Comp Eff Res Subsets: MEDLINE
أسماء مطبوعة: Publication: 2023- : Royston, UK : Becaris Publishing
Original Publication: London : Future Medicine
مواضيع طبية MeSH: Cognitive Dysfunction/*economics , Transitional Care/*economics, Aged ; Aged, 80 and over ; Caregivers/economics ; Cognitive Dysfunction/therapy ; Costs and Cost Analysis ; Female ; Health Resources/economics ; Humans ; Male ; Nurses/economics ; Patient Acceptance of Health Care/statistics & numerical data ; Patient Discharge/economics ; Pennsylvania
مستخلص: Aim: The goal of this study was to compare postacute care costs of three care management interventions.
Materials & Methods: A total of 202 hospitalized older adults with cognitive impairment received either Augmented Standard Care, Resource Nurse Care or the Transitional Care Model. The Lin method was used to estimate costs at 30 and 180 days postindex hospital discharge.
Results: The Transitional Care Model had significantly lower costs than the Augmented Standard Care group at both 30 (p < 0.001) and 180 days (p = 0.03) and significantly lower costs than Resource Nurse Care at 30 days (p = 0.02).
Conclusion: These findings suggest that the Transitional Care Model can reduce both the amount of other postacute care and the total cost of care compared with alternative services for cognitively impaired older adults. Clinicaltrials.gov : NCT00294307.
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معلومات مُعتمدة: R01 AG023116 United States AG NIA NIH HHS
فهرسة مساهمة: Keywords: Alzheimer's disease; dementia; home care; postacute care; rehospitalization
سلسلة جزيئية: ClinicalTrials.gov NCT00294307
تواريخ الأحداث: Date Created: 20180912 Date Completed: 20190909 Latest Revision: 20190909
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6219439
DOI: 10.2217/cer-2018-0040
PMID: 30203668
قاعدة البيانات: MEDLINE
الوصف
تدمد:2042-6313
DOI:10.2217/cer-2018-0040