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Centre for Policy on Ageing | |
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Buying Time II
— an economic evaluation of a joint NHS/social services residential rehabilitation unit for older people on discharge from hospital | | Author(s) | Annie Ellis, Tessa Trappes-Lomax, Mary Fox |
| Journal title | Health & Social Care in the Community, vol 14, no 2, March 2006 |
| Pages | pp 95-106 |
| Source | www.blackwellpublishing.com/hsc |
| Keywords | Rehabilitation ; Care homes ; Interaction [welfare services] ; Cost effectiveness ; Devon. |
| Annotation | The cost-effectiveness of an NHS/social services short term residential rehabilitation unit (a form of intermediate care) for older people on discharge from community hospital was compared with "usual community services". The aim of the unit was to help individuals regain their independence. The research was carried out in two matched geographical areas in Devon: one with a rehabilitation unit, one without. Participants (94 to the intervention, 112 to the control group) were recruited from January 1999 to October 2000 in 10 community hospitals, and their eligibility determined using the unit's strict inclusion/exclusion criteria, e.g.: age 55+; likely to benefit from a short-term rehabilitation programme; potential to improve; realistic, achievable goals; and motivation to participate. Details were collated of the NHS and social services resources participants used over the 12 month follow-up. Comparing the two groups, overall their costs were similar. Aggregated mean NHS/social service costs were £8,542.38 for the intervention group and £8,510.68 for the control. However, the cost of the unit option fell more heavily on social services (£5,011.56 vs £3532.72 NHS). This suggests that residential rehabilitation for older people is no more cost-effective over a year after discharge from community hospital than usual community services. The variability in cost burden between the NHS and social services has implications for "who pays". (RH). |
| Accession Number | CPA-060424201 A |
| Classmark | LM: KW: QK6: WEC: 8DE |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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