Evidence for the long term cost effectiveness of home care reablement programs.
Evidence for the long term cost effectiveness of home care reablement programs.
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DOI：
10.2147/cia.s49164
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发表时间：
2013-01-01
影响因子：
3.6
通讯作者：
Alan, Janine J
中科院分区：
文献类型：
--
作者：
Lewin, Gill F;Alfonso, Helman S;Alan, Janine J
背景：这项研究的目的是确定在接下来的57个月(近5年)内，与立即接受传统的家庭护理服务相比，参加补救(恢复性)计划的老年人对持续支持的需求是否减少，家庭护理成本是否更低。材料和方法：采用数据链接的方法回顾了接受补救服务的老年人与传统家庭护理服务的服务记录，以确定他们在一段时间内对家庭护理服务的使用情况。结果：接受补救服务的老年人在接下来的3年里在整个随访期内使用个人护理服务或任何其他类型的家庭护理的可能性较小。家庭护理服务使用量的减少与近5年每人节省约12,500澳元的中位数成本有关。结论：澳大利亚改革后的老年护理系统中将可恢复能力作为转介到家庭护理的个人的起点，可以提高该系统的成本效益，并确保所有澳大利亚老年人都有机会随着年龄的增长最大限度地提高他们的独立性。
BACKGROUND: The objectives of this study were to determine whether older individuals who participated in a reablement (restorative) program rather than immediately receiving conventional home care services had a reduced need for ongoing support and lower home care costs over the next 57 months (nearly 5 years).MATERIALS AND METHODS: Data linkage was used to examine retrospectively the service records of older individuals who had received a reablement service versus a conventional home care service to ascertain their use of home care services over time.RESULTS: Individuals who had received a reablement service were less likely to use a personal care service throughout the follow-up period or any other type of home care over the next 3 years. This reduced use of home care services was associated with median cost savings per person of approximately AU $12,500 over nearly 5 years.CONCLUSION: The inclusion of reablement as the starting point for individuals referred for home care within Australia's reformed aged care system could increase the system's cost effectiveness and ensure that all older Australians have the opportunity to maximize their independence as they age.