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Centre for Policy on Ageing | |
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Post-acute care for older people in community hospitals
— a cost-effectiveness analysis within a multi-centre randomised controlled trial | | Author(s) | Jacqueline O'Reilly, Karin Lowson, John Green |
| Journal title | Age and Ageing, vol 37, no 5, September 2008 |
| Pages | pp 513-520 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Rehabilitation ; Aftercare ; Community hospital ; General hospitals ; Cost effectiveness. |
| Annotation | Participants were 490 patients needing rehabilitation following hospital admission with an acute illness at seven community hospitals and five general hospitals in the Midlands and the north of England. Multidisciplinary team care for older people was measured by EuroQoL EQ-5D scores transformed into quality-adjusted life years (QALYs) and health and social service costs during the 6-month period following randomisation. There was a non-significant difference between community and general hospitals for changes in QALY values over the 6 months; resource use was similar for both groups. The mean costs per patient for health and social services resources used were comparable for both groups: community hospital group £8946, general hospital group £8226. The incremental cost-effectiveness ratio estimate was £16324 per QALY. A cost-effectiveness curve suggests that if decision makers' willingness to pay per QALY was £10000, then community hospital care was effective in 47% of cases and this increased to only 50% if the threshold willingness to pay was raised to £30000. (RH). |
| Accession Number | CPA-081008216 A |
| Classmark | LM: LN: LD:PA: LD3: WEC |
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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