Board N, Brennan N, Caplan G A
Ambulatory Information Infrastructure Project, New South Wales Health, North Sydney.
Aust N Z J Public Health. 2000 Jun;24(3):305-11. doi: 10.1111/j.1467-842x.2000.tb01573.x.
To test the cost effectiveness of Hospital in the Home compared to hospital admission for acute medical conditions.
Randomised controlled trial at the Prince of Wales Hospital, Sydney, from October 1995 to February, 1997; 100 patients with acute medical conditions admitted through the Emergency Department.
The Hospital in the Home (HITH) group costs per separation ($1,764, CI 95% $1,416-$2,111, n = 50) were significantly lower (p < 0.0001, Mann-Whitney U-Wilcoxon Rank Sum) than the control group hospital separation ($3,614, CI 95% $2,881.37-$4,347.27, n = 47) with no significant difference in clinical outcomes, and comparable or better user satisfaction.
Given the favourable clinical outcomes the HITH model produces at a lower cost, the cost-effectiveness of the care mode is high, and the allocative efficiency favourable.
As a care model and critical pathway, HITH offers hospitals real bed day savings that can either be used to rationalise resource usage for a given level of activity, or increase throughput.
测试与因急性疾病住院相比，居家医院模式的成本效益。
1995年10月至1997年2月在悉尼威尔士亲王医院进行随机对照试验；100例通过急诊科收治的急性疾病患者。
居家医院（HITH）组每次出院费用（1764美元，95%置信区间1416 - 2111美元，n = 50）显著低于对照组的住院出院费用（3614美元，95%置信区间2881.37 - 4347.27美元，n = 47）（p < 0.0001，曼-惠特尼U - 威尔科克森秩和检验），临床结局无显著差异，且用户满意度相当或更高。
鉴于居家医院模式以较低成本产生了良好的临床结局，该护理模式的成本效益高，配置效率良好。
作为一种护理模式和关键路径，居家医院模式可为医院实际节省床位日，这些节省的床位日可用于在给定活动水平下合理配置资源，或提高诊疗量。
