ArticleCanadian family physician Medecin de famille canadien2008
Home-based intermediate care program vs hospitalization: Cost comparison study.
Article in Canadian family physician Medecin de famille canadien, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed, 16 citations in OpenAlex.
- The effectiveness of intermediate care including transitional care interventions on function, healthcare utilisation and costs: a scoping review.European geriatric medicine · 2020Article
- Effects of three home-based exercise programmes regarding falls, quality of life and exercise-adherence in older adults at risk of falling: protocol for a randomized controlled trial.BMC geriatrics · 2019Article
- Effectiveness of a transitional home care program in reducing acute hospital utilization: a quasi-experimental study.BMC health services research · 2015Article
- Utilization and costs of home care for patients with colorectal cancer: a population-based study.CMAJ open · 2014Article
- Population-based home care services in breast cancer: utilization and costs.Current oncology (Toronto, Ont.) · 2012Article
- Integrating Physician Services in the Home: evaluation of an innovative program.Canadian family physician Medecin de famille canadien · 2010Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore whether a home-based intermediate care program in a large Canadian city lowers the cost of care and to look at whether such home-based programs could be a solution to the increasing demands on Canadian hospitals.
designSingle-arm study with historical controls.
settingDepartment of Family Medicine at the Ottawa Hospital (Civic campus) in Ontario.
participantsPatients requiring hospitalization for acute care. Participants were matched with historical controls based on case-mix, most responsible diagnosis, and level of complexity.
interventionsPlacement in the home-based intermediate care program. Daily home visits from the nurse practitioner and 24-hour access to care by telephone.
main outcome measuresMultivariate regression models were used to estimate the effect of the program on 5 outcomes: length of stay in hospital, cost of care substituted for hospitalization (Canadian dollars), readmission for a related diagnosis, readmission for any diagnosis, and costs incurred by community home-care services for patients following discharge from hospital.
resultsThe outcomes of 43 hospital admissions were matched with those of 363 controls. Patients enrolled in the program stayed longer in hospital (coefficient 3.3 days, P < .001), used more community care services following discharge (coefficient $729, P = .007), and were more likely to be readmitted to hospital within 3 months of discharge (coefficient 17%, P = .012) than patients treated in hospital. Total substituted costs of home-based care were not significantly different from the costs of hospitalization (coefficient -$501, P = .11).
conclusionWhile estimated cost savings were not statistically significant, the limitations of our study suggest that we underestimated these savings. In particular, the economic inefficiencies of a small immature program and the inability to control for certain factors when selecting historical controls affected our results. Further research is needed to determine the economic effect of mature home-based programs.
Indexed as
Identifiers
18208958PMC2293319W2107007491What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.