Thiesen Henrik, Tanderup Lene, Stavad Bodil, Hesse Morten
Health Team for the Homeless, Municipality of Copenhagen, Copenhagen S 2300, Denmark.
Geriatrics (Basel). 2017 Sep 26;2(4):31. doi: 10.3390/geriatrics2040031.
Serious alcohol dependence is associated with high healthcare costs, especially when patients have chronic problems with alcohol, dementia and exhibit externalizing behavior. One option is to offer a wet nursing home for seriously ill patients for whom abstinence from alcohol is not a feasible option. In this case series, we present the healthcare costs 18 months before moving into a "wet nursing home", and in the first 18 months of their stay, for three cases, one with low needs of care, one with medium needs, and one with high needs. Results: for all three patients, hospital costs were reduced by between 83.7 and 97.9% for patients with dementia, externalizing behavior, and chronic alcohol problems, a wet nursing home can produce substantial cost reductions in other parts of the healthcare sector.
严重酒精依赖与高昂的医疗成本相关，尤其是当患者存在酒精慢性问题、患有痴呆症并表现出外化行为时。一种选择是为病情严重且戒酒不可行的患者提供“湿疗养院”。在本病例系列中，我们呈现了三名患者在入住“湿疗养院”前18个月以及入住后的前18个月的医疗成本，这三名患者分别为一名护理需求低、一名护理需求中等和一名护理需求高的患者。结果：对于所有三名患者，患有痴呆症、外化行为和慢性酒精问题的患者，医院成本降低了83.7%至97.9%，“湿疗养院”可在医疗保健部门的其他方面大幅降低成本。
