Punchik Boris, Komarov Roman, Gavrikov Dmitry, Semenov Anna, Freud Tamar, Kagan Ella, Goldberg Yury, Press Yan
Home Care Unit, Clalit Health Services, Yasski Clinic, Beer-Sheva, Israel.
Unit for Community Geriatrics, Division of Health in the Community, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
PLoS One. 2017 Jul 28;12(7):e0182148. doi: 10.1371/journal.pone.0182148. eCollection 2017.
Congestive heart failure (CHF), a common problem in adults, is associated with multiple hospitalizations, high mortality rates and high costs.
To evaluate whether home care for homebound patients with CHF reduces healthcare service utilization and overall costs.
A retrospective study of healthcare utilization among homebound patients who received home care for CHF from 2012-1015. The outcome measures were number of hospital admissions per month, total number of hospitalization days and days for CHF only, emergency room visits, and overall costs. A comparison was conducted between the 6-month period prior to entry into home care and the time in home care.
Over the study period 196 patients were treated by home care for CHF with a mean age of 79.4±9.5 years. 113 (57.7%) were women. Compared to the six months prior to home care, there were statistically significant decreases in hospitalizations (46.3%), in the number of total in-hospital days (28.7%), in the number of in-hospital days for CHF (66.7%), in emergency room visits (47%), and in overall costs (23.9%).
Home care for homebound adults with CHF can reduce healthcare utilization and healthcare costs.
充血性心力衰竭（CHF）是成年人中的常见问题，与多次住院、高死亡率和高成本相关。
评估对居家的CHF患者进行家庭护理是否能降低医疗服务利用率和总体成本。
对2012年至2015年接受CHF家庭护理的居家患者的医疗利用情况进行回顾性研究。结局指标包括每月住院次数、住院总天数、仅因CHF住院天数、急诊就诊次数和总体成本。对接受家庭护理前6个月和家庭护理期间进行了比较。
在研究期间，196例患者接受了CHF家庭护理，平均年龄为79.4±9.5岁。113例（57.7%）为女性。与家庭护理前6个月相比，住院次数（46.3%）、住院总天数（28.7%）、因CHF住院天数（66.7%）、急诊就诊次数（47%）和总体成本（23.9%）均有统计学意义的下降。
对居家的成年CHF患者进行家庭护理可降低医疗利用率和医疗成本。
