Cost analysis of a home-based nurse care coordination program.
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.
Affiliation: College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona.Show MeSH
Related in: MedlinePlus
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).
Affiliation: College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona.