Centre for Policy on Ageing



Can home care services achieve cost savings in long-term care for older people?
Author(s)	Vernon L Greene, Jan Ondrich, Sarah Laditka
Journal title	The Journals of Gerontology Series B: Psychological sciences and social sciences, vol 53B, no 4, July 1998
Pages	pp S228-S238
Keywords	Domiciliary services ; Organisation of care ; Services ; Health services ; Long term ; Costs [care] ; Grant allocation ; Cost effectiveness ; United States of America.
Annotation	Hazard function analysis and non-linear mathematical programming is used to determine whether efficient allocation of home care services can produce net long-term care cost savings. Optimal allocation of home care services resulted in a 10% net reduction in overall long-term costs for the frail older population served by the National Long-Term Care (Channeling) Demonstration, in contrast to the 12% net cost increase produced by the demonstration intervention itself. The findings suggest that the long-sought goal of overall cost neutrality or even cost savings through reducing nursing home use sufficiently to more than offset home care costs is technically feasible, but requires tighter targeting of services and a more medically oriented service mix than major home care demonstrations have implemented to date. (RH).
Accession Number	CPA-980903245 A
Classmark	N: P: I: L: 4Q: QDC: QCG: WEC: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.