Descriptive Analysis of Health Economics of Intensive Home Care of Ventilated Patients

Das Gesundheitswesen
Yvonne LehmannMichael Ewers

Abstract

Long-term ventilated patients in Germany receive intensive care mainly in the patients' home or in assisted-living facilities. There is a lack of knowledge about the nature and extent of resource use and costs associated with care of this small, heterogeneous but overall growing patient group. A sub-study in the context of a research project SHAPE analyzed costs of 29 patients descriptively from a social perspective. Direct and indirect costs of intensive home care over a period of three months were recorded and analyzed retrospectively. Standardized recorded written self-reports from patients and relatives as well as information from the interviewing of nursing staff and from nursing documentation were the basis for this analysis. There was an average total cost of intensive home care for three months per patient of 61194 € (95% CI 53 884-68 504) including hospital stays. The main costs were directly linked to outpatient medical and nursing care provided according to the Code of Social Law V and XI. Services provided by nursing home care service according to § 37(2) Code of Social Law V (65%) were the largest cost item. Approximately 13% of the total costs were attributable to indirect costs. Intensive home care for ventilated...Continue Reading

Citations

Jul 11, 2020·Das Gesundheitswesen·Hanna KlingshirnBernd Reuschenbach
Apr 29, 2020·Deutsches Ärzteblatt International·Florian BornitzFelix Herth

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