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Economic evaluation of a geriatric day hospital: cost-benefit analysis based on functional autonomy changes

NHS Economic Evaluation Database., 2003

Economic evaluation of a geriatric day hospital: cost-benefit analysis based on functional autonomy changes
Economic evaluation of a geriatric day hospital: cost-benefit analysis based on functional autonomy changes
Health technology The study examined a geriatric day hospital (GDH) aimed at providing institutional care to elderly people.
The care was provided by physicians, nurses, occupational therapists, physiotherapists, speech therapists, neuropsychologists, gerontopsychiatrists, dieticians and social workers.
Hypothesis/study question The objective of the study was to assess the economic impact of the GDH programme, compared with usual care, for the institutional management of elderly people in Canada.
The authors stated that evidence from prior studies was controversial, thus it was difficult to evaluate the cost-effectiveness of GDH interventions.
Study population The study population comprised elderly people affected by functional decline and who were eligible for GDH programmes.
Dates to which data relate The effectiveness and resource use data were gathered from April 1998 and March 1999 for the intervention group and from a study published in 1996 for the control group.
Link between effectiveness and cost data The costing was carried out prospectively on the same sample of patients as that used in the effectiveness study.
Thus, the final study sample included in the intervention group comprised 151 patients (53 men and 98 women) with a mean age of 76.8 ( 6.8) years.
The control patients were identified from a published longitudinal study (Hebert et al., see Other Publications of Related Interest) and were matched with patients in the intervention group.