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Centre for Policy on Ageing | |
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People admitted to hospital with physical disability have increased length of stay
— implications for diagnosis related group re-imbursement in England | | Author(s) | Ian Carpenter, Jacqui Bobby, Elena Kulinskaya |
| Journal title | Age and Ageing, vol 36, no 1, January 2007 |
| Pages | pp 73-77 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Accident & emergency depts ; Admission [hospitals] ; Costs [care] ; Self care capacity ; Mobility ; Cognitive processes ; Evaluation ; Thanet ; Canterbury. |
| Annotation | Different degrees of physical and cognitive impairment of patients in some Healthcare Resource Groups (HRGs, the basis of tariff-based reimbursement in England) results in wide variation in the actual costs of their care. The author report a study of 1942 consecutive emergency admissions to hospitals in East Kent from March to July 2004, with one or more of six presenting conditions (stroke, hip fracture, myocardial infarction, acute respiratory infection, chronic obstructive airways disease and falls). Patients with high dependency in activities of daily living (ADLs) had longer lengths of stay (40%) longer) when compared to those with lower dependency after excluding effects of HRG and other covariates. These patients, presenting with conditions common in older patients, would have incurred estimated annual costs of £1.9 million in excess of their HRG tariff-based reimbursement. Physical function measures should be used to better define HRGs and reduce financial risk under case-mix based reimbursement. (RH). |
| Accession Number | CPA-070503202 A |
| Classmark | LD6: LD:QKH: QDC: CA: C4: DA: 4C: 8KT: 8KF |
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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