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Cost analysis of a home-based nurse care coordination program.

Marek KD, Stetzer F, Adams SJ, Bub LD, Schlidt A, Colorafi KJ - J Am Geriatr Soc (2014)

Bottom Line: To determine whether a home-based care coordination program focused on medication self-management would affect the cost of care to the Medicare program and whether the addition of technology, a medication-dispensing machine, would further reduce cost.Nurse care coordination plus a pill organizer is a cost-effective intervention for frail elderly Medicare beneficiaries.The addition of the medication machine did not enhance the cost effectiveness of the intervention.

View Article: PubMed Central - PubMed

Affiliation: College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona.

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Related in: MedlinePlus

The majority of participants were hospitalized before nursing home placement or death. Participants were followed for 2 months after hospitalization, rehabilitation, or nursing home placement and then discharged from the study. Examination of the claims data provided information on participants who died or were permanently placed in a nursing home after discharge from the study. NCC = nurse care coordination.
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fig01: The majority of participants were hospitalized before nursing home placement or death. Participants were followed for 2 months after hospitalization, rehabilitation, or nursing home placement and then discharged from the study. Examination of the claims data provided information on participants who died or were permanently placed in a nursing home after discharge from the study. NCC = nurse care coordination.

Mentions: Of the 456 older adults who consented to have study data collection staff contact them, 414 were enrolled and randomized to one of three groups. Medicare claims data were not available for 11 participants (Figure1), so the ITT analysis included 403 participants. At baseline, there were no statistically significant differences in sociodemographic characteristics between the three groups, although there was a lower incidence of dementia (P = .02) and depression (P = .03) in the control group. There also was no statistically significant difference between the groups for the SF-36 PCS; and the control group scored statistically significantly higher (better) on the SF-36 MCS (P = .02) (Table1).


Cost analysis of a home-based nurse care coordination program.

Marek KD, Stetzer F, Adams SJ, Bub LD, Schlidt A, Colorafi KJ - J Am Geriatr Soc (2014)

The majority of participants were hospitalized before nursing home placement or death. Participants were followed for 2 months after hospitalization, rehabilitation, or nursing home placement and then discharged from the study. Examination of the claims data provided information on participants who died or were permanently placed in a nursing home after discharge from the study. NCC = nurse care coordination.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4383646&req=5

fig01: The majority of participants were hospitalized before nursing home placement or death. Participants were followed for 2 months after hospitalization, rehabilitation, or nursing home placement and then discharged from the study. Examination of the claims data provided information on participants who died or were permanently placed in a nursing home after discharge from the study. NCC = nurse care coordination.
Mentions: Of the 456 older adults who consented to have study data collection staff contact them, 414 were enrolled and randomized to one of three groups. Medicare claims data were not available for 11 participants (Figure1), so the ITT analysis included 403 participants. At baseline, there were no statistically significant differences in sociodemographic characteristics between the three groups, although there was a lower incidence of dementia (P = .02) and depression (P = .03) in the control group. There also was no statistically significant difference between the groups for the SF-36 PCS; and the control group scored statistically significantly higher (better) on the SF-36 MCS (P = .02) (Table1).

Bottom Line: To determine whether a home-based care coordination program focused on medication self-management would affect the cost of care to the Medicare program and whether the addition of technology, a medication-dispensing machine, would further reduce cost.Nurse care coordination plus a pill organizer is a cost-effective intervention for frail elderly Medicare beneficiaries.The addition of the medication machine did not enhance the cost effectiveness of the intervention.

View Article: PubMed Central - PubMed

Affiliation: College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona.

Show MeSH
Related in: MedlinePlus