| |
Centre for Policy on Ageing | |
 | |
|
| A cost effectiveness analysis within a randomised controlled trial of post-acute care of older people in a community hospital | | Author(s) | Jacqueline O'Reilly, Karin Lowson, John Young |
| Journal title | British Medical Journal, vol 333 no 7561, 29 July 2006 |
| Pages | pp 228-231 |
| Source | http://www.bmj.com |
| Keywords | Rehabilitation ; Aftercare ; Community hospital ; General hospitals ; Cost effectiveness ; Bradford. |
| Annotation | The potential for community hospitals to provide intermediate care has been recognised. The authors carried out this cost-effectiveness study with 220 patients needing rehabilitation after an acute illness for which they required admission to hospital. The study examined multidisciplinary care in a district general hospital or prompt transfer to a community hospital in Bradford, West Yorkshire. The mean quality of adjusted life years (QALY) score for the community hospital group was marginally non-significantly higher than for those in the district general hospital group (0.38 vs 0.35) at 6 months after recruitment. The mean standard deviation costs per patient of the health and social services resources used were similar for both groups: community hospital £7,233; district general hospital £7,351. These findings were robust to several sensitivity analyses. The incremental cost effectiveness ratio for community hospital care dominated. A cost-effectiveness acceptability curve, based on bootstrapped simulations, suggests that at a willingness to pay threshold of £10,000 per QALY, 51% of the community hospital cases will be cost-effective, which rises to 58% of cases when the threshold is £30,000 QALY. Post-acute care for older people in a locally-based community hospital is of similar cost effectiveness to that of an elderly care department of a district general hospital. (RH). |
| Accession Number | CPA-060823205 A |
| Classmark | LM: LN: LD:PA: LD3: WEC: 88A * |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|