Skip to main content Accessibility help
×
Home
Hostname: page-component-747cfc64b6-rxvp8 Total loading time: 0.224 Render date: 2021-06-15T21:36:38.864Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": true, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true }

ECONOMIC EVALUATION OF A NURSING-LED INTERMEDIATE CARE UNIT

Published online by Cambridge University Press:  25 September 2001

Gerald Richardson
Affiliation:
University of York
Peter Griffiths
Affiliation:
King's College
Jenifer Wilson-Barnett
Affiliation:
King's College
Karen Spilsbury
Affiliation:
City University
Lynn Batehup
Affiliation:
Marie Curie Cancer Care

Abstract

Objective: The aim of this paper is to examine the costs of introducing a nursing-led ward program together with examining the impact this may have on patients' outcomes.

Methods: The study had a sample size of 177 patients with a mean age of 77, and randomized to either a treatment group (care on a nursing-led ward, n = 97) or a control group (standard care usually on a consultant-led acute ward, n = 80). Resource use data including length of stay, tests and investigations performed, and multidisciplinary involvement in care were collected.

Results: There were no significant differences in outcome between the two groups. The inpatient costs for the treatment group were significantly higher, due to the longer length of stay in this group. However, the postdischarge costs were significantly lower for the treatment group.

Conclusions: The provision of nursing-led intermediate care units has been proposed as a solution to inappropriate use of acute medical wards by patients who require additional nursing rather than medical care. Whether the treatment group is ultimately cost-additive is dependent on how long reductions in postdischarge resource use are maintained.

Type
RESEARCH NOTE
Copyright
© 2001 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below.

Footnotes

This research was funded by Primary Health Care Research and Development in London.
12
Cited by

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

ECONOMIC EVALUATION OF A NURSING-LED INTERMEDIATE CARE UNIT
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

ECONOMIC EVALUATION OF A NURSING-LED INTERMEDIATE CARE UNIT
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

ECONOMIC EVALUATION OF A NURSING-LED INTERMEDIATE CARE UNIT
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *