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The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review

This study provides an overview of the literature on the cost-effectiveness of homecare services compared to in-hospital care for adults and older adults. A systematic review was performed using Medline, Embase, Scopus, Web of Science, CINAHL and CENTRAL databases from inception to April 2022. The i...

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Autores principales: Curioni, Cintia, Silva, Ana Carolina, Damião, Jorginete, Castro, Andrea, Huang, Miguel, Barroso, Taianah, Araujo, Daniel, Guerra, Renata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9960182/
https://www.ncbi.nlm.nih.gov/pubmed/36834068
http://dx.doi.org/10.3390/ijerph20043373
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author Curioni, Cintia
Silva, Ana Carolina
Damião, Jorginete
Castro, Andrea
Huang, Miguel
Barroso, Taianah
Araujo, Daniel
Guerra, Renata
author_facet Curioni, Cintia
Silva, Ana Carolina
Damião, Jorginete
Castro, Andrea
Huang, Miguel
Barroso, Taianah
Araujo, Daniel
Guerra, Renata
author_sort Curioni, Cintia
collection PubMed
description This study provides an overview of the literature on the cost-effectiveness of homecare services compared to in-hospital care for adults and older adults. A systematic review was performed using Medline, Embase, Scopus, Web of Science, CINAHL and CENTRAL databases from inception to April 2022. The inclusion criteria were as follows: (i) (older) adults; (ii) homecare as an intervention; (iii) hospital care as a comparison; (iv) a full economic evaluation examining both costs and consequences; and (v) economic evaluations arising from randomized controlled trials (RCTs). Two independent reviewers selected the studies, extracted data and assessed study quality. Of the 14 studies identified, homecare, when compared to hospital care, was cost-saving in seven studies, cost-effective in two and more effective in one. The evidence suggests that homecare interventions are likely to be cost-saving and as effective as hospital. However, the included studies differ regarding the methods used, the types of costs and the patient populations of interest. In addition, methodological limitations were identified in some studies. Definitive conclusions are limited and highlight the need for better standardization of economic evaluations in this area. Further economic evaluations arising from well-designed RCTs would allow healthcare decision-makers to feel more confident in considering homecare interventions.
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spelling pubmed-99601822023-02-26 The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review Curioni, Cintia Silva, Ana Carolina Damião, Jorginete Castro, Andrea Huang, Miguel Barroso, Taianah Araujo, Daniel Guerra, Renata Int J Environ Res Public Health Review This study provides an overview of the literature on the cost-effectiveness of homecare services compared to in-hospital care for adults and older adults. A systematic review was performed using Medline, Embase, Scopus, Web of Science, CINAHL and CENTRAL databases from inception to April 2022. The inclusion criteria were as follows: (i) (older) adults; (ii) homecare as an intervention; (iii) hospital care as a comparison; (iv) a full economic evaluation examining both costs and consequences; and (v) economic evaluations arising from randomized controlled trials (RCTs). Two independent reviewers selected the studies, extracted data and assessed study quality. Of the 14 studies identified, homecare, when compared to hospital care, was cost-saving in seven studies, cost-effective in two and more effective in one. The evidence suggests that homecare interventions are likely to be cost-saving and as effective as hospital. However, the included studies differ regarding the methods used, the types of costs and the patient populations of interest. In addition, methodological limitations were identified in some studies. Definitive conclusions are limited and highlight the need for better standardization of economic evaluations in this area. Further economic evaluations arising from well-designed RCTs would allow healthcare decision-makers to feel more confident in considering homecare interventions. MDPI 2023-02-15 /pmc/articles/PMC9960182/ /pubmed/36834068 http://dx.doi.org/10.3390/ijerph20043373 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Curioni, Cintia
Silva, Ana Carolina
Damião, Jorginete
Castro, Andrea
Huang, Miguel
Barroso, Taianah
Araujo, Daniel
Guerra, Renata
The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review
title The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review
title_full The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review
title_fullStr The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review
title_full_unstemmed The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review
title_short The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review
title_sort cost-effectiveness of homecare services for adults and older adults: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9960182/
https://www.ncbi.nlm.nih.gov/pubmed/36834068
http://dx.doi.org/10.3390/ijerph20043373
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