Skellie F A, Mobley G M, Coan R E
Am J Public Health. 1982 Apr;72(4):353-8. doi: 10.2105/ajph.72.4.353.
A study of the cost-effectiveness of community-based, long-term care was conducted with voluntary enrollees eligible for Medicaid reimbursed nursing home care. One year after enrollment, average longevity was greater for the 575 clients in the experiment group, but average Medicaid plus Medicare costs for this group were higher than for the 172 clients in the control group. Among those more at risk of entering a nursing home, costs for persons in the experimental group were somewhat lower than for those in the control group. The results suggest that community-based services targeted to those most at risk of institutionalization may be cost-effective.
一项针对符合医疗补助报销条件的养老院护理的自愿参保者进行了基于社区的长期护理成本效益研究。入组一年后,实验组的575名客户平均寿命更长,但该组的医疗补助加医疗保险平均成本高于对照组的172名客户。在那些更有可能进入养老院的人群中,实验组人员的成本略低于对照组人员。结果表明,针对最有可能被机构收容的人群的社区服务可能具有成本效益。