Dataset Information

Economic evaluation of the differential benefits of home visits with telephone calls and telephone calls only in transitional discharge support.

ABSTRACT:

Background

home visits and telephone calls are two often used approaches in transitional care, but their differential economic effects are unknown.

Objective

to examine the differential economic benefits of home visits with telephone calls and telephone calls only in transitional discharge support.

Design

cost-effectiveness analysis conducted alongside a randomised controlled trial (RCT).

Participants

patients discharged from medical units randomly assigned to control (control, N = 210), home visits with calls (home, N = 196) and calls only (call, N = 204).

Methods

cost-effectiveness analyses were conducted from the societal perspective comparing monetary benefits and quality-adjusted life years (QALYs) gained.

Results

the home arm was less costly but less effective at 28 days and was dominating (less costly and more effective) at 84 days. The call arm was dominating at both 28 and 84 days. The incremental QALY for the home arm was -0.0002/0.0008 (28/84 days), and the call arm was 0.0022/0.0104 (28/84 days). When the three groups were compared, the call arm had a higher probability being cost-effective at 84 days but not at 28 days (home: 53%, call: 35% (28 days) versus home: 22%, call: 73% (84 days)) measuring against the NICE threshold of £20,000.

Conclusion

the original RCT showed that the bundled intervention involving home visits and calls was more effective than calls only in the reduction of hospital readmissions. This study adds a cost perspective to inform policymakers that both home visits and calls only are cost-effective for transitional care support, but calls only have a higher chance of being cost-effective for a sustained period after intervention.

SUBMITTER: Wong FK

PROVIDER: S-EPMC4255617 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature

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Publications

Economic evaluation of the differential benefits of home visits with telephone calls and telephone calls only in transitional discharge support.

Wong Frances Kam Yuet FK So Ching C Chau June J Law Antony Kwan Pui AK Tam Stanley Ku Fu SK McGhee Sarah S

Age and ageing 20141029 1

<h4>Background</h4>home visits and telephone calls are two often used approaches in transitional care, but their differential economic effects are unknown.<h4>Objective</h4>to examine the differential economic benefits of home visits with telephone calls and telephone calls only in transitional discharge support.<h4>Design</h4>cost-effectiveness analysis conducted alongside a randomised controlled trial (RCT).<h4>Participants</h4>patients discharged from medical units randomly assigned to contro ...[more]

PMID: 25355620

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Dataset Information

Economic evaluation of the differential benefits of home visits with telephone calls and telephone calls only in transitional discharge support.

Background

Objective

Design

Participants

Methods

Results

Conclusion

Publications

Economic evaluation of the differential benefits of home visits with telephone calls and telephone calls only in transitional discharge support.

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