Literature DB >> 30203668

Cost impact of the transitional care model for hospitalized cognitively impaired older adults.

Mark V Pauly1, Karen B Hirschman2, Alexandra L Hanlon2, Liming Huang2, Kathryn H Bowles2, Christine Bradway2, Kathleen McCauley2, Mary D Naylor2.   

Abstract

AIM: The goal of this study was to compare postacute care costs of three care management interventions. MATERIALS &
METHODS: A total of 202 hospitalized older adults with cognitive impairment received either Augmented Standard Care, Resource Nurse Care or the Transitional Care Model. The Lin method was used to estimate costs at 30 and 180 days postindex hospital discharge.
RESULTS: The Transitional Care Model had significantly lower costs than the Augmented Standard Care group at both 30 (p < 0.001) and 180 days (p = 0.03) and significantly lower costs than Resource Nurse Care at 30 days (p = 0.02).
CONCLUSION: These findings suggest that the Transitional Care Model can reduce both the amount of other postacute care and the total cost of care compared with alternative services for cognitively impaired older adults. Clinicaltrials.gov : NCT00294307.

Entities:  

Keywords:  Alzheimer's disease; dementia; home care; postacute care; rehospitalization

Mesh:

Year:  2018        PMID: 30203668      PMCID: PMC6219439          DOI: 10.2217/cer-2018-0040

Source DB:  PubMed          Journal:  J Comp Eff Res        ISSN: 2042-6305            Impact factor:   1.744


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