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Article: Cost-Benefit Analysis of a Case Management Project for the Community-Dwelling Frail Elderly in Hong Kong

TitleCost-Benefit Analysis of a Case Management Project for the Community-Dwelling Frail Elderly in Hong Kong
Authors
Leung, ACTLiu, CPChow, NWSChi, I
KeywordsCase Management
Cost-Benefit Analysis
Hong Kong
Older Persons
Issue Date2004
PublisherSage Publications, Inc. The Journal's web site is located at http://www.sagepub.com/journal.aspx?pid=1
Citation
Journal Of Applied Gerontology, 2004, v. 23 n. 1, p. 70-85 How to Cite?
DOI: http://dx.doi.org/10.1177/0733464804263088
AbstractThis randomized, controlled trial evaluates the cost-benefit of a case management project for older persons in Hong Kong. Case managers provided integrated care to participants in an intervention group while participants in a control group received conventional care only. Minimum Data Set-Home Care was used to assess health conditions, and hospital admissions were used as the basis to calculate health care costs. After the intervention, hospital admissions were reduced by 36.8% in the intervention group (p = .01) and 20.4% in the control group. The total number of acute hospital bed-days decreased by 53.1% in the intervention group (p < .05), compared to 4.4% in the control group. Compared with the control group, U.S.$170,448 was saved in acute hospital care and community health services in the intervention group. Well-planned case management interventions reduced hospital admissions and the length of stay in hospitals with corresponding savings in total health care costs.
Persistent Identifierhttp://hdl.handle.net/10722/172096
ISSN
0733-4648
2021 Impact Factor: 2.645
2020 SCImago Journal Rankings: 0.857
ISI Accession Number ID
WOS:000189108000005
References
References in Scopus

 

DC FieldValueLanguage
dc.contributor.authorLeung, ACTen_US
dc.contributor.authorLiu, CPen_US
dc.contributor.authorChow, NWSen_US
dc.contributor.authorChi, Ien_US
dc.date.accessioned2012-10-30T06:20:07Z-
dc.date.available2012-10-30T06:20:07Z-
dc.date.issued2004en_US
dc.identifier.citationJournal Of Applied Gerontology, 2004, v. 23 n. 1, p. 70-85en_US
dc.identifier.issn0733-4648en_US
dc.identifier.urihttp://hdl.handle.net/10722/172096-
dc.description.abstractThis randomized, controlled trial evaluates the cost-benefit of a case management project for older persons in Hong Kong. Case managers provided integrated care to participants in an intervention group while participants in a control group received conventional care only. Minimum Data Set-Home Care was used to assess health conditions, and hospital admissions were used as the basis to calculate health care costs. After the intervention, hospital admissions were reduced by 36.8% in the intervention group (p = .01) and 20.4% in the control group. The total number of acute hospital bed-days decreased by 53.1% in the intervention group (p < .05), compared to 4.4% in the control group. Compared with the control group, U.S.$170,448 was saved in acute hospital care and community health services in the intervention group. Well-planned case management interventions reduced hospital admissions and the length of stay in hospitals with corresponding savings in total health care costs.en_US
dc.languageengen_US
dc.publisherSage Publications, Inc. The Journal's web site is located at http://www.sagepub.com/journal.aspx?pid=1en_US
dc.relation.ispartofJournal of Applied Gerontologyen_US
dc.rightsJournal of Applied Gerontology. Copyright © Sage Publications, Inc.-
dc.subjectCase Managementen_US
dc.subjectCost-Benefit Analysisen_US
dc.subjectHong Kongen_US
dc.subjectOlder Personsen_US
dc.titleCost-Benefit Analysis of a Case Management Project for the Community-Dwelling Frail Elderly in Hong Kongen_US
dc.typeArticleen_US
dc.identifier.emailChow, NWS: hrnwcws@hkucc.hku.hken_US
dc.identifier.authorityChow, NWS=rp00582en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1177/0733464804263088en_US
dc.identifier.scopuseid_2-s2.0-1242352597en_US
dc.identifier.hkuros93320-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-1242352597&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume23en_US
dc.identifier.issue1en_US
dc.identifier.spage70en_US
dc.identifier.epage85en_US
dc.identifier.isiWOS:000189108000005-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLeung, ACT=8873906400en_US
dc.identifier.scopusauthoridLiu, CP=7409787341en_US
dc.identifier.scopusauthoridChow, NWS=35857105900en_US
dc.identifier.scopusauthoridChi, I=7005697907en_US
dc.identifier.issnl0733-4648-

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