The value of admission avoidance: cost-consequence analysis of one-year activity in a consolidated service.

ABSTRACT:

Background

Many advantages of hospital at home (HaH), as a modality of acute care, have been highlighted, but controversies exist regarding the cost-benefit trade-offs. The objective is to assess health outcomes and analytical costs of hospital avoidance (HaH-HA) in a consolidated service with over ten years of delivery of HaH in Barcelona (Spain).

Methods

A retrospective cost-consequence analysis of all first episodes of HaH-HA, directly admitted from the emergency room (ER) in 2017-2018, was carried out with a health system perspective. HaH-HA was compared with a propensity-score-matched group of contemporary patients admitted to conventional hospitalization (Controls). Mortality, re-admissions, ER visits, and direct healthcare costs were evaluated.

Results

HaH-HA a

SUBMITTER: Hernandez C 

PROVIDER: S-EPMC11017527 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature