Garåsen Helge, Magnussen Jon, Windspoll Rolf, Johnsen Roar
Institutt for samfunnsmedisin, Det medisinske fakultet, Norges teknisk-naturvitenskapelige universitet ,7491 Trondheim.
Tidsskr Nor Laegeforen. 2008 Jan 31;128(3):283-5.
This paper compares the cost efficacy of care at an intermediate level in a community hospital or a conventional prolonged treatment in a general hospital.
142 patients older than 60 years and admitted to the city general hospital (due to an acute illness or exacerbation of a chronic disease) were randomised to one of the two types of care. Patients were followed for one year or until death and costs for care were monitored.
Mean costs for treatment of the disease in question at the time of inclusion were 39,650 NOK (95% CI 30,996-48,304) in the community hospital group and 73,417 NOK (95 % CI 52,992-93,843) in the general hospital group (p < 0.01). No significant differences were found for the municipality and general hospital care costs during follow-up, except for readmissions. Mean health service costs per patient per observed day were 606 NOK (95% CI 450-761) for the community hospital group and 802 NOK (95 % CI 641-962) for the general hospital group (p = 0.03).
Care at an intermediate level in a community hospital in Trondheim was given for a lower cost compared to that given in a general hospital. The main reason for the difference was the reduction in readmission costs.
本文比较了社区医院中级护理与综合医院常规长期治疗的成本效益。
142名60岁以上因急性疾病或慢性病加重而入住市综合医院的患者被随机分配到两种护理类型之一。对患者进行为期一年的随访或直至死亡，并监测护理费用。
纳入时，社区医院组该疾病的平均治疗费用为39,650挪威克朗（95%可信区间30,996 - 48,304），综合医院组为73,417挪威克朗（95%可信区间52,992 - 93,843）（p < 0.01）。随访期间，除再入院情况外，市政护理和综合医院护理费用无显著差异。社区医院组每位患者每天的平均医疗服务费用为606挪威克朗（95%可信区间450 - 761），综合医院组为802挪威克朗（95%可信区间641 - 962）（p = 0.03）。
与综合医院相比，特隆赫姆社区医院的中级护理成本更低。差异的主要原因是再入院成本的降低。
Zotero 插件