PMID: 9180668Jun 1, 1997Paper

Do acute care for elders units increase hospital costs? A cost analysis using the hospital perspective

Journal of the American Geriatrics Society
K E CovinskyC S Landefeld

Abstract

To compare the hospital costs of caring for medical patients on a special unit designed to help older people maintain or achieve independence in self-care activities with the costs of usual care. A randomized controlled study. A total of 650 medical patients (mean age 80 years, 67% women, 41% nonwhite) assigned randomly to either the intervention unit (n = 326) or usual care (n = 324). The hospital's resource-based cost of caring for patients was determined from the hospital's cost-accounting system. The cost of the intervention program was estimated and included in the intervention patients' total hospital cost. The development and maintenance costs of the intervention added $38.43 per bed day to the intervention patients' hospital costs. As a result, the cost per day to the hospital was slightly higher in the intervention patients than in the control patients ($876 vs $847, P = .076). However, the average length of stay was shorter for intervention patients (7.5 vs 8.4 days, P = .449). As a result, the hospital's total cost to care for intervention patients was not greater than caring for usual-care patients ($6608 in intervention patients vs $7240 in control patients, P = .926). Sensitivity analysis demonstrated that the cos...Continue Reading

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Citations

Jul 2, 2011·Revista española de geriatría y gerontología·Juan J BaztánLeocadio Rodríguez-Mañas
Dec 23, 2003·Journal of the American Geriatrics Society·Kyle R AllenSteven R Counsell
Dec 23, 2003·Journal of the American Geriatrics Society·Kenneth H ChuangC Seth Landefeld
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Apr 21, 1998·The Joint Commission Journal on Quality Improvement·K E CovinskyC S Landefeld

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