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Does hospital-at-home make economic sense? Early discharge versus standard care for orthopaedic patients

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posted on 1996-10-01, 00:00 authored by Martin Hensher, N Fulop, S Hood, S Ujah
Hospital-at-home has been promoted as a potentially effective means of replacing costly inpatient care with cheaper domiciliary care. We studied three hospital-at-home schemes in West London providing intensive home care for early discharge orthopaedic patients, comparing their costs with those of standard inpatient care. Although costs per day of hospital-at-home care were lower than those of inpatient care, the schemes appeared to increase the total duration of orthopaedic episodes, so that the costs of standard care, per episode, were lower than those of hospital-at-home. While hospital-at-home may offer considerable future potential, substitution of home care for inpatient care will not necessarily save resources.

History

Journal

Journal of the Royal Society of Medicine

Volume

89

Issue

10

Pagination

548 - 551

Publisher

SAGE Publications

Location

London, Eng.

ISSN

0141-0768

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

[1996, SAGE Publications]

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