Trial reportBMJ (Clinical research ed.)1998
Hospital at home or acute hospital care? A cost minimisation analysis.
Trial report in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
29 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Inpatient-level care at home delivered by virtual wards and hospital at home: a systematic review and meta-analysis of complex interventions and their components.BMC medicine · 2024Pooled it
- The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Multidisciplinary rehabilitation for older people with hip fractures.The Cochrane database of systematic reviews · 2021Pooled it
- Early discharge hospital at home.The Cochrane database of systematic reviews · 2017Pooled it
- Early discharge hospital at home.The Cochrane database of systematic reviews · 2009Pooled it
- Economic evaluation of an acute paediatric hospital at home clinical trial.Archives of disease in childhood · 2002Trial
- Trial
- Economic evaluation of hospital at home versus hospital care: cost minimisation analysis of data from randomised controlled trial.BMJ (Clinical research ed.) · 1999Trial
- Randomised controlled trial comparing effectiveness and acceptability of an early discharge, hospital at home scheme with acute hospital care.BMJ (Clinical research ed.) · 1998Trial
- An overview of Hospital-at-home versus other models of care.Journal of general and family medicine · 2025Review
- Financial Costs of Emergency Department Presentations for Australian Patients With Heart Disease in the Last 3 Years of Life.Health services insights · 2022Article
- A benefit-cost analysis of different response scenarios to COVID-19: A case study.Health science reports · 2021Article
- Cost analysis of improving emergency care for aged care residents under a Hospital in the Nursing Home program in Australia.PloS one · 2018Article
- Integrating Physician Services in the Home: evaluation of an innovative program.Canadian family physician Medecin de famille canadien · 2010Article
- Comparison of costs of home and facility-based basic obstetric care in rural Bangladesh.Journal of health, population, and nutrition · 2010Article
- Design and analysis of health products and services: An example at a specialized COPD unit.The open respiratory medicine journal · 2008Article
- The impact of home hospitalization on healthcare costs of exacerbations in COPD patients.The European journal of health economics : HEPAC : health economics in prevention and care · 2007Article
- Immediate and early discharge for patients with exacerbations of chronic obstructive pulmonary disease: is there a role in "real life"?International journal of chronic obstructive pulmonary disease · 2006Review
- Economic evaluation of nurse led intermediate care versus standard care for post-acute medical patients: cost minimisation analysis of data from a randomised controlled trial.BMJ (Clinical research ed.) · 2005Article
- DRG-based cost minimization models: applications in a hospital environment.Health care management science · 2004Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare, from the viewpoints of the NHS and social services and of patients, the costs associated with early discharge to a hospital at home scheme and those associated with continued care in an acute hospital.
designCost minimisation analysis.
settingAcute hospital wards and the community in the north of Bristol (population about 224 000). SUBJECTS: 241 hospitalised but medically stable elderly patients who fulfilled the criteria for early discharge to a hospital at home scheme and who consented to participate.
main outcome measuresCosts to the NHS, social services, and patients over the 3 months after randomisation.
resultsThe mean cost for hospital at home patients over the 3 months was 2516 pounds, whereas that for hospital patients was 3292 pounds. Under all the assumptions used in the sensitivity analysis, the cost of hospital at home care was less than that of hospital care. Only when hospital costs were assumed to be less than 50% of those used in the initial analysis was the difference equivocal.
conclusionsThe hospital at home scheme is less costly than care in the acute hospital. These results may be generalisable to schemes of similar size and scope, operating in a similar context of rising acute admissions.
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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.