An economic evaluation of an integrated care pathway in geriatric rehabilitation for older patients with complex health problems

PloS One
Irma H J EverinkJos M G A Schols

Abstract

Integrated care pathways which cover multiple care settings are increasingly used as a tool to structure care, enhance coordination and improve transitions between care settings. However, little is known about their economic impact. The objective of this study is to determine the cost-effectiveness and cost-utility of an integrated care pathway designed for patients with complex health problems transferring from the hospital, a geriatric rehabilitation facility and primary care. This economic evaluation was performed from a societal perspective alongside a prospective cohort study with two cohorts of patients. The care as usual cohort was included before implementation of the pathway and the care pathway cohort after implementation of the pathway. Both cohorts were measured over nine months, during which intervention costs, healthcare costs, patient and family costs were identified. The outcome measures were dependence in activities of daily living (measured with the KATZ-15) and quality adjusted life years (EQ-5D-3L). Costs and effects were bootstrapped and various sensitivity analyses were performed to assess robustness of the results. After nine months, the average societal costs were significantly lower for patients in the ...Continue Reading

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Citations

May 22, 2018·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Irma H J EverinkJos M G A Schols
Nov 15, 2019·Health Policy and Planning·Li-Lin Liang
Sep 13, 2019·Applied Health Economics and Health Policy·Jenny ClelandJulie Ratcliffe
Nov 28, 2019·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Anna-Maria HiltunenMiika Linna
Jul 8, 2020·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Stephen RocksApostolos Tsiachristas
Feb 20, 2020·Geriatrics & Gerontology International·Sebastià J SantaeugèniaJoan Cunill
Aug 14, 2021·Health Services Research·Lucy A Savitz, Elizabeth A Bayliss

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