Comparative cost-analysis of two different chronic care facilities for end-stage renal disease patients.

Geriatric nephrology and urology Pub Date : 1998-01-01 DOI:10.1023/a:1008378422292

S V Jassal, J E Brissenden, A Raisbeck, J M Roscoe

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引用次数: 14

Abstract

Objective: To investigate the cost and quality of life associated with the first specialized chronic care facility for disabled dialysis patients.

Design: A case controlled study in dialysis patients admitted to a specialized chronic dialysis unit (RCDU).

Setting: The study compares the cost of care in a specialized chronic care facility with that of a tertiary hospital.

Patients: All dialysis patients with severe chronic disability, resident in Greater Toronto, who were unable to be discharged into the community and who were admitted to the RCDU in the first year of the program.

Interventions: Chronic care and rehabilitation services in a specialized dialysis unit.

Outcome measures: Costs are expressed as $Cdn per patient year. Quality of life scores were measured using SIP and SF-36 questionnaires.

Results: The data show a saving of $37,022 Cdn over the 618 day study period with care in the RCDU compared with that of a tertiary hospital. Quality of life measures show no difference in scores.

Conclusions: We conclude that this preliminary report confirms a cost benefit of a specialized chronic care dialysis unit.

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两种不同的慢性护理机构对终末期肾病患者的比较成本分析。

目的:探讨残疾透析患者在第一家专业慢性护理机构的生活成本和生活质量。设计:一项在专门慢性透析病房(RCDU)住院的透析患者中进行的病例对照研究。环境:该研究比较了专业慢性护理机构与三级医院的护理成本。患者:所有患有严重慢性残疾的透析患者，居住在大多伦多地区，无法出院进入社区，并在项目的第一年被RCDU录取。干预措施:慢性护理和康复服务在一个专门的透析单位。结果测量:成本以每位患者每年加元表示。生活质量评分采用SIP和SF-36问卷进行测量。结果:数据显示，在618天的研究期间，与三级医院相比，在RCDU治疗节省了37,022加元。生活质量测量在得分上没有差异。结论:我们的结论是，这一初步报告证实了一个专门的慢性护理透析单位的成本效益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Geriatric nephrology and urology

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