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Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial

BACKGROUND AND AIMS: Reducing health care costs through preventive geriatric care has become a high priority in Japan. We analyzed data from a randomized controlled trial to examine the effects of a preventive home visit program on health care costs among ambulatory frail elders. METHODS: Structured...

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Autores principales: Kono, Ayumi, Kanaya, Yukiko, Tsumura, Chieko, Rubenstein, Laurence Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3784053/
https://www.ncbi.nlm.nih.gov/pubmed/23949975
http://dx.doi.org/10.1007/s40520-013-0128-4
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author Kono, Ayumi
Kanaya, Yukiko
Tsumura, Chieko
Rubenstein, Laurence Z.
author_facet Kono, Ayumi
Kanaya, Yukiko
Tsumura, Chieko
Rubenstein, Laurence Z.
author_sort Kono, Ayumi
collection PubMed
description BACKGROUND AND AIMS: Reducing health care costs through preventive geriatric care has become a high priority in Japan. We analyzed data from a randomized controlled trial to examine the effects of a preventive home visit program on health care costs among ambulatory frail elders. METHODS: Structured preventive home visits by nurses or care managers were provided to the visit group every 6 months over 2 years. The enrolled participants (N = 323) were randomly assigned to either the visit group (N = 161) or the control group (N = 162). We analyzed the health care costs, including the costs for hospitalizations and outpatient clinic utilization for participants who had health care insurance from the local government (N = 307). The visit group included 154 individuals in the visit group and 153 people in the control group. RESULTS: Total health care costs over the study period were not significantly different between groups, but at most monthly time points costs and those for outpatient clinic utilization in the visit group were lower than those in the control group. Hospitalizations, which accounted for more than ¥500,000 JPY per month, were less likely to occur more often among participants in the visit group (N = 71) than in the control group (N = 113) (OR = 0.63; p = 0.002). CONCLUSIONS: These results suggest that a preventive home visit program may reduce monthly health care costs, primarily by reducing hospitalization costs.
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spelling pubmed-37840532013-10-04 Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial Kono, Ayumi Kanaya, Yukiko Tsumura, Chieko Rubenstein, Laurence Z. Aging Clin Exp Res Original Article BACKGROUND AND AIMS: Reducing health care costs through preventive geriatric care has become a high priority in Japan. We analyzed data from a randomized controlled trial to examine the effects of a preventive home visit program on health care costs among ambulatory frail elders. METHODS: Structured preventive home visits by nurses or care managers were provided to the visit group every 6 months over 2 years. The enrolled participants (N = 323) were randomly assigned to either the visit group (N = 161) or the control group (N = 162). We analyzed the health care costs, including the costs for hospitalizations and outpatient clinic utilization for participants who had health care insurance from the local government (N = 307). The visit group included 154 individuals in the visit group and 153 people in the control group. RESULTS: Total health care costs over the study period were not significantly different between groups, but at most monthly time points costs and those for outpatient clinic utilization in the visit group were lower than those in the control group. Hospitalizations, which accounted for more than ¥500,000 JPY per month, were less likely to occur more often among participants in the visit group (N = 71) than in the control group (N = 113) (OR = 0.63; p = 0.002). CONCLUSIONS: These results suggest that a preventive home visit program may reduce monthly health care costs, primarily by reducing hospitalization costs. Springer International Publishing 2013-08-15 2013 /pmc/articles/PMC3784053/ /pubmed/23949975 http://dx.doi.org/10.1007/s40520-013-0128-4 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Article
Kono, Ayumi
Kanaya, Yukiko
Tsumura, Chieko
Rubenstein, Laurence Z.
Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial
title Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial
title_full Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial
title_fullStr Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial
title_full_unstemmed Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial
title_short Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial
title_sort effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3784053/
https://www.ncbi.nlm.nih.gov/pubmed/23949975
http://dx.doi.org/10.1007/s40520-013-0128-4
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