TY - JOUR
T1 - Cost-Benefit Analysis of a Case Management Project for the Community-Dwelling Frail Elderly in Hong Kong
AU - Leung, Antony Chi Tat
AU - Liu, Chi Pun
AU - Chow, Nelson Wing Sun
AU - Chi, Iris
PY - 2004/3
Y1 - 2004/3
N2 - This randomized, controlled trial evaluates the cost-benefit of a case management project for older persons in Hong Kong. Case managers provided integrated care to participants in an intervention group while participants in a control group received conventional care only. Minimum Data Set-Home Care was used to assess health conditions, and hospital admissions were used as the basis to calculate health care costs. After the intervention, hospital admissions were reduced by 36.8% in the intervention group (p = .01) and 20.4% in the control group. The total number of acute hospital bed-days decreased by 53.1% in the intervention group (p < .05), compared to 4.4% in the control group. Compared with the control group, U.S.$170,448 was saved in acute hospital care and community health services in the intervention group. Well-planned case management interventions reduced hospital admissions and the length of stay in hospitals with corresponding savings in total health care costs.
AB - This randomized, controlled trial evaluates the cost-benefit of a case management project for older persons in Hong Kong. Case managers provided integrated care to participants in an intervention group while participants in a control group received conventional care only. Minimum Data Set-Home Care was used to assess health conditions, and hospital admissions were used as the basis to calculate health care costs. After the intervention, hospital admissions were reduced by 36.8% in the intervention group (p = .01) and 20.4% in the control group. The total number of acute hospital bed-days decreased by 53.1% in the intervention group (p < .05), compared to 4.4% in the control group. Compared with the control group, U.S.$170,448 was saved in acute hospital care and community health services in the intervention group. Well-planned case management interventions reduced hospital admissions and the length of stay in hospitals with corresponding savings in total health care costs.
KW - Case management
KW - Cost-benefit analysis
KW - Hong Kong
KW - Older persons
UR - http://www.scopus.com/inward/record.url?scp=1242352597&partnerID=8YFLogxK
U2 - 10.1177/0733464804263088
DO - 10.1177/0733464804263088
M3 - Article
AN - SCOPUS:1242352597
SN - 0733-4648
VL - 23
SP - 70
EP - 85
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 1
ER -