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Centre for Policy on Ageing | |
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| The effect of accurate patient screening on the cost-effectiveness of case management programs | | Author(s) | Dana B Mukamel, Chih-Chieh Chou, James G Zimmer |
| Journal title | The Gerontologist, vol 37, no 6, December 1997 |
| Pages | pp 777-784 |
| Keywords | Domiciliary services ; Case work ; Community care ; Long term ; Management [care] ; Cost effectiveness ; United States of America. |
| Annotation | Case management programmes are expensive and therefore require careful screening of individuals. Screening tools, however, are imperfect, with positive predictive values usually below 50%. This study examined the relationship between the accuracy of the screening tools and the cost-effectiveness of case management. Using data from a Medicare health maintenance organisation (HMO), an optimised 5-question screening tool was developed. The study then simulated the use of the tool and its impact on the cost-effectiveness of several hypothetical case management programmes. The study demonstrated that even tools with only 20-30% positive predictive value could turn a case management programme into a cost-effective programme. |
| Accession Number | CPA-980309408 A |
| Classmark | N: IGA: PA: 4Q: QA: WEC: 7T |
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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