Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 70-85 |
| Number of pages | 16 |
| Journal | Journal of Applied Gerontology |
| Volume | 23 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Mar 2004 |
Keywords
- Case management
- Cost-benefit analysis
- Hong Kong
- Older persons
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