Abstract
The purpose of this pilot study was to assess the cost-effectiveness of four different doses (based on patients’ level of cognition and activation) of a home-based care transitions intervention compared with usual care at 2 and 6 months after hospital discharge to home for 126 adult patients with three or more chronic diseases. Health care utilization was measured, and a cost-effectiveness analysis was used to estimate incremental costs and quality-adjusted life-years associated with each intervention arm. At 6 months, results from this pilot study are very promising and support cost-effectiveness for Group 2-low cognition/high activation, Group 3-normal cognition/low activation, and Group 4-normal cognition/high activation patients. However, Group 1-low cognition/low activation needs a more intensive treatment than what was provided in the intervention, because of their low cognition and activation levels. Our intervention strategies provided to the groups would be scalable to a larger patient population and across different facilities.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 622-642 |
| Number of pages | 21 |
| Journal | Western journal of nursing research |
| Volume | 39 |
| Issue number | 5 |
| DOIs | |
| State | Published - May 1 2017 |
Keywords
- care transitions
- cost-effective analysis
- multimorbid
- self-management
ASJC Scopus subject areas
- Nursing(all)