Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study
| Autor: | Graziano Onder, Hein P.J. van Hout, Cees M.P.M. Hertogh, Henriëtte G. van der Roest, Vjenka Garms-Homolová, Lisanne I. van Lier, Palmi V. Jonsson, Judith E. Bosmans, Anja Declercq |
|---|---|
| Přispěvatelé: | Health Economics and Health Technology Assessment, APH - Mental Health, APH - Methodology, General practice, Elderly care medicine, APH - Aging & Later Life |
| Rok vydání: | 2021 |
| Předmět: |
Medicine (General)
Longitudinal study societal coste Mean difference 03 medical and health sciences R5-920 0302 clinical medicine Case mix index Benchmark (surveying) Operations management 030212 general & internal medicine international benchmarking older adults health care economics and organizations Original Research 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Benchmarking Business Public aspects of medicine RA1-1270 0305 other medical science Home care models societal costs Resource utilization |
| Zdroj: | Health Services Insights, 14. SAGE Publications Ltd van Lier, L I, van der Roest, H G, Garms-Homolová, V, Onder, G, Jónsson, P V, Declercq, A, Hertogh, C M P M, van Hout, H P J & Bosmans, J E 2021, ' Benchmarking European Home Care Models for Older Persons on Societal Costs : The IBenC Study ', Health services insights, vol. 14 . https://doi.org/10.1177/11786329211022441 van Lier, L I, van der Roest, H G, Garms-Homolová, V, Onder, G, Jónsson, P V, Declercq, A, Hertogh, C M P M, van Hout, H P J & Bosmans, J E 2021, ' Benchmarking European Home Care Models for Older Persons on Societal Costs : The IBenC Study ', Health Services Insights, vol. 14 . https://doi.org/10.1177/11786329211022441 Health services insights, 14. SAGE Publications Ltd Health Services Insights, Vol 14 (2021) Health Services Insights |
| ISSN: | 1178-6329 |
| DOI: | 10.1177/11786329211022441 |
| Popis: | This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals. ispartof: Health Services Insights vol:14 ispartof: location:United States status: Published online |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|