The impact of home hospitalization on healthcare costs of exacerbations in COPD patients

被引：20
|
作者：
Puig-Junoy, Jaurne [1 ]
Casas, Alejandro [2 ]
Font-Planells, Jaurne [1 ]
Escarrabill, Joan [3 ]
Hernandez, Carme [2 ]
Alonso, Jordi [4 ]
Farrero, Eva [3 ]
Vilagut, Gernma [4 ]
Roca, Josep [2 ]
机构：
[1] Univ Pompeu Fabra, Res Ctr Hlth & Econ, Barcelona 3408005, Spain
[2] IDIBAPS, Hosp Clin, Technol Innovat Unit, Serv Pneumol, Barcelona, Spain
[3] Univ Barcelona, Univ Hosp Bellvitge, UFISS Respirat, Serv Pneumol, Barcelona, Spain
[4] IMIM IMAS, Hlth Serv Res Unit, Barcelona, Spain
来源：
EUROPEAN JOURNAL OF HEALTH ECONOMICS | 2007年 / 8卷 / 04期
关键词：
COPD; healthcare costs; healthcare delivery; homecare; hospitalization;
D O I：
10.1007/s10198-006-0029-y
中图分类号：
F [经济];
学科分类号：
02 ;
摘要：
Home-hospitalization (HH) improves clinical outcomes in selected patients with chronic obstructive pulmonary disease (COPD) admitted at the emergency room due to an exacerbation, but its effects on healthcare costs are poorly known. The current analysis examines the impact of HH on direct healthcare costs, compared to conventional hospitalizations (CH). A randomized controlled trial was performed in two tertiary hospitals in Barcelona (Spain). A total of 180 exacerbated COPD patients (HH 103 and CH 77) admitted at the emergency room were studied. In the HH group, a specialized respiratory nurse delivered integrated care at home. The average direct cost per patient was significantly lower for HH than for CH, with a difference of 810(sic) (95% CI, 418-1,169(sic) in the mean cost per patient. The magnitude of monetary savings attributed to HH increased with the severity of the patients considered eligible for the intervention.
引用
收藏
页码：325 / 332
页数：8
相关论文
共 50 条
  • [1] The impact of home hospitalization on healthcare costs of exacerbations in COPD patients
    Jaume Puig-Junoy
    Alejandro Casas
    Jaume Font-Planells
    Joan Escarrabill
    Carme Hernández
    Jordi Alonso
    Eva Farrero
    Gemma Vilagut
    Josep Roca
    The European Journal of Health Economics, 2007, 8 : 325 - 332
  • [2] Impact of bronchiectasis on duration of hospitalization in patients with exacerbations of COPD
    Pitassi, Manuela
    Vitale, Carolina
    D'Amato, Maria
    Stanziola, Anna
    Mormile, Mauro
    Molino, Antonio
    EUROPEAN RESPIRATORY JOURNAL, 2015, 46
  • [3] Impact Of Roflumilast On COPD Exacerbations, Healthcare Utilization And Costs In A Medicare Advantage Population
    Ellis, J. J.
    Sun, S. X.
    Moll, K.
    Howe, A.
    Amin, A.
    AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2014, 189
  • [4] HEALTHCARE RESOURCE UTILIZATION AND COSTS IN OLDER COPD PATIENTS WITH AND WITHOUT FREQUENT EXACERBATIONS
    Le, T.
    Fleming, S.
    Aynalem, A.
    Chen, J.
    Le, Y.
    Simoni-Wastila, L.
    VALUE IN HEALTH, 2020, 23 : S350 - S350
  • [5] Costs of exacerbations in COPD
    Jansson, Sven-Arne
    Backman, Helena
    Ronmark, Eva
    Lundback, Bo
    Lindberg, Anne
    EUROPEAN RESPIRATORY JOURNAL, 2012, 40
  • [6] Preventing Hospitalization for COPD Exacerbations
    Bourbeau, Jean
    SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, 2010, 31 (03) : 313 - 320
  • [7] A Home Telemonitoring Program Reduced Exacerbation and Healthcare Utilization Rates in COPD Patients with Frequent Exacerbations
    Alrajab, Saadah
    Smith, Toby R.
    Owens, Michael
    Areno, John P.
    Caldito, Gloria
    TELEMEDICINE AND E-HEALTH, 2012, 18 (10) : 772 - 776
  • [8] Impact of lung function on exacerbations, health care utilization, and costs among patients with COPD
    Ke, Xuehua
    Marvel, Jessica
    Yu, Tzy-Chyi
    Wertz, Debra
    Geremakis, Caroline
    Wang, Liya
    Stephenson, Judith J.
    Mannino, David M.
    INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, 2016, 11 : 1689 - 1703
  • [9] Severity stratification and hospitalization risk in COPD exacerbations: clinical data from the ICE (Italian Costs for Exacerbations) study
    Lusuardi, Mirco
    Lucioni, Carlo
    De Benedetto, Fernando
    Mazzi, Silvio
    Sanguinetti, Claudio M.
    Donner, Claudio F.
    MULTIDISCIPLINARY RESPIRATORY MEDICINE, 2009, 4 (03) : 197 - 202
  • [10] Home mechanical ventilation in chronic hypercapnic COPD patients: impact on acute exacerbations and survival
    Freitas, Claudia
    Serino, Mariana
    Araujo, David
    Pinto, Tiago
    Goncalves, Miguel
    Van Zeller, Mafalda
    Drummond, Marta
    EUROPEAN RESPIRATORY JOURNAL, 2020, 56
12345