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The cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study

BACKGROUND: As the incidence of stroke has increased, its impact on society has increased accordingly, while it continues to have a major impact on the individual. New strategies to further improve the quality, efficiency and logistics of stroke services are necessary. Early discharge from hospital...

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Autores principales: Heijnen, Ron WH, Evers, Silvia MAA, van der Weijden, Trudy DEM, Limburg, Martien, Schols, Jos MGA
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2888743/
https://www.ncbi.nlm.nih.gov/pubmed/20504313
http://dx.doi.org/10.1186/1471-2458-10-279
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author Heijnen, Ron WH
Evers, Silvia MAA
van der Weijden, Trudy DEM
Limburg, Martien
Schols, Jos MGA
author_facet Heijnen, Ron WH
Evers, Silvia MAA
van der Weijden, Trudy DEM
Limburg, Martien
Schols, Jos MGA
author_sort Heijnen, Ron WH
collection PubMed
description BACKGROUND: As the incidence of stroke has increased, its impact on society has increased accordingly, while it continues to have a major impact on the individual. New strategies to further improve the quality, efficiency and logistics of stroke services are necessary. Early discharge from hospital to a nursing home with an adequate rehabilitation programme could help to optimise integrated care for stroke patients. The objective is to describe the design of a non-randomised comparative study evaluating early admission to a nursing home, with multidisciplinary assessment, for stroke patients. The study is comprised of an effect evaluation, an economic evaluation and a process evaluation. METHODS/DESIGN: The design involves a non-randomised comparative trial for two groups. Participants are followed for 6 months from the time of stroke. The intervention consists of a redesigned care pathway for stroke patients. In this care pathway, patients are discharged from hospital to a nursing home within 5 days, in comparison with 12 days in the usual situation. In the nursing home a structured assessment takes place, aimed at planning adequate rehabilitation. People in the control group receive the usual care. The main outcome measures of the effect evaluation are quality of life and daily functioning. In addition, an economic evaluation will be performed from a societal perspective. A process evaluation will be carried out to evaluate the feasibility of the intervention as well as the experiences and opinions of patients and professionals. DISCUSSION: The results of this study will provide information about the cost effectiveness of the intervention and its effects on clinical outcomes and quality of life. Relevant strengths and weaknesses of the study are addressed in this article. TRIAL REGISTRATION: Current Controlled Trails ISRCTN58135104
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spelling pubmed-28887432010-06-22 The cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study Heijnen, Ron WH Evers, Silvia MAA van der Weijden, Trudy DEM Limburg, Martien Schols, Jos MGA BMC Public Health Study protocol BACKGROUND: As the incidence of stroke has increased, its impact on society has increased accordingly, while it continues to have a major impact on the individual. New strategies to further improve the quality, efficiency and logistics of stroke services are necessary. Early discharge from hospital to a nursing home with an adequate rehabilitation programme could help to optimise integrated care for stroke patients. The objective is to describe the design of a non-randomised comparative study evaluating early admission to a nursing home, with multidisciplinary assessment, for stroke patients. The study is comprised of an effect evaluation, an economic evaluation and a process evaluation. METHODS/DESIGN: The design involves a non-randomised comparative trial for two groups. Participants are followed for 6 months from the time of stroke. The intervention consists of a redesigned care pathway for stroke patients. In this care pathway, patients are discharged from hospital to a nursing home within 5 days, in comparison with 12 days in the usual situation. In the nursing home a structured assessment takes place, aimed at planning adequate rehabilitation. People in the control group receive the usual care. The main outcome measures of the effect evaluation are quality of life and daily functioning. In addition, an economic evaluation will be performed from a societal perspective. A process evaluation will be carried out to evaluate the feasibility of the intervention as well as the experiences and opinions of patients and professionals. DISCUSSION: The results of this study will provide information about the cost effectiveness of the intervention and its effects on clinical outcomes and quality of life. Relevant strengths and weaknesses of the study are addressed in this article. TRIAL REGISTRATION: Current Controlled Trails ISRCTN58135104 BioMed Central 2010-05-26 /pmc/articles/PMC2888743/ /pubmed/20504313 http://dx.doi.org/10.1186/1471-2458-10-279 Text en Copyright ©2010 Heijnen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study protocol
Heijnen, Ron WH
Evers, Silvia MAA
van der Weijden, Trudy DEM
Limburg, Martien
Schols, Jos MGA
The cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study
title The cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study
title_full The cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study
title_fullStr The cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study
title_full_unstemmed The cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study
title_short The cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study
title_sort cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study
topic Study protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2888743/
https://www.ncbi.nlm.nih.gov/pubmed/20504313
http://dx.doi.org/10.1186/1471-2458-10-279
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