Willers Carl, Lindqvist Rikard, Fors Stefan, Mazya Amelie Lindh, Nilsson Gunnar H, Boström Anne-Marie, Rydwik Elisabeth
Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge, Sweden.
Stockholm Region Council, FOU nu, Research and Development Center for the Elderly, Järfälla, Sweden.
Health Econ Rev. 2025 Mar 13;15(1):18. doi: 10.1186/s13561-025-00610-1.
Individuals receiving geriatric care are often frail and afflicted with multiple chronic conditions demanding care from several medical disciplines, and from several different care providing units across the health systems.
To explore the six-month service utilization and direct costs attributed to individuals receiving geriatric inpatient care.
Health care utilization- in terms of inpatient care, outpatient visits with different health care professions- and social care utilization- in terms of social services, and stay at residential care facility (RCF)- were quantified based on registry data, for a cohort admitted to geriatric inpatient care in Stockholm, Sweden during 2016.
On average, individuals admitted to geriatric inpatient care in Stockholm had 12.8 inpatient care days, 32.1 visits in outpatient care, 432 h of home care and 28.8 days of staying at RCF, during the first six months after discharge. This amounted to an average cost of 722 thousand Swedish kronor (SEK), € 64 900, in 2023 monetary value. Costs were on average 37% attributable to inpatient care including the initial inpatient stay, 12% to outpatient visits, 38% to social services at home, and 13% to stay at residential care facility (whereof 11% short-term, 89% long-term). Total costs differed significantly between groups based on function, age and main diagnosis.
Costs of care for individuals treated at geriatric department are substantial. The variation of cost is also significant; higher age and lower function were associated with higher health care and social care costs. Major cost buckets were inpatient health care (region-financed) and social care at home (municipality-financed).
接受老年护理的个体通常身体虚弱，患有多种慢性疾病，需要多个医学学科以及卫生系统中多个不同护理提供单位的护理。
探讨接受老年住院护理的个体的六个月服务利用情况和直接成本。
根据登记数据，对2016年在瑞典斯德哥尔摩接受老年住院护理的一组人群的医疗保健利用情况（以住院护理、不同医疗保健专业的门诊就诊衡量）和社会护理利用情况（以社会服务和在寄宿护理机构（RCF）的停留时间衡量）进行量化。
在斯德哥尔摩，接受老年住院护理的个体出院后的前六个月平均有12.8个住院护理日、32.1次门诊就诊、432小时的家庭护理以及28.8天的寄宿护理机构停留时间。这相当于平均成本为72.2万瑞典克朗（SEK），按2023年货币价值计算为64900欧元。成本平均37%归因于住院护理，包括最初的住院停留，12%归因于门诊就诊，38%归因于家庭社会服务，13%归因于寄宿护理机构停留（其中11%为短期，89%为长期）。基于功能、年龄和主要诊断的不同组之间总成本差异显著。
老年科治疗个体的护理成本很高。成本差异也很显著；年龄越大和功能越低与越高的医疗保健和社会护理成本相关。主要成本类别是住院医疗保健（由地区资助）和家庭社会护理（由市政府资助）。
