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The cost of treating pneumonia in the nursing home setting.
- Source :
-
Journal of the American Medical Directors Association [J Am Med Dir Assoc] 2003 Mar-Apr; Vol. 4 (2), pp. 81-9. - Publication Year :
- 2003
-
Abstract
- Objective: To determine the costs of treating pneumonia in the nursing home setting and explore what factors are most responsible for that cost with a view to reducing cost.<br />Design: Prospective cohort study.<br />Setting: Thirty-six Missouri nursing homes participating in the study from April 1997 through September 1998.<br />Participants: Nursing home residents with pneumonia who were not hospitalized (n = 502). We included residents evaluated in the emergency department (ED) and returned to the nursing home without admission.<br />Measurements: Residents were evaluated by project nurses. Examination findings, diagnostic testing, and treatment information for 30 days following evaluation were abstracted from medical records. Bills were obtained for individuals evaluated in the ED.<br />Results: There was significant variation in the cost of treating pneumonia in nursing homes. Episode costs were higher for residents seen in the ED of a hospital, residents with decubitus ulcers, black residents, and residents in larger facilities. Although total episode costs were related to illness severity, most of the variation in cost is not explained by resident or illness characteristics. The average cost for treating an episode of pneumonia in the nursing home, over and above usual care, was $458.<br />Conclusions: There is wide variation in treatment for residents with similar clinical presentations. For residents at low risk of mortality, using less expensive antibiotics and reducing ED evaluation could result in cost reductions, although the effect on outcomes is unknown.
- Subjects :
- Aged
Aged, 80 and over
Anti-Bacterial Agents administration & dosage
Anti-Bacterial Agents economics
Cohort Studies
Costs and Cost Analysis
Drug Costs statistics & numerical data
Female
Humans
Male
Middle Aged
Missouri epidemiology
Outcome Assessment, Health Care
Prospective Studies
Research Design
Severity of Illness Index
Health Care Costs statistics & numerical data
Homes for the Aged economics
Nursing Homes economics
Pneumonia, Bacterial economics
Pneumonia, Bacterial therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1525-8610
- Volume :
- 4
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of the American Medical Directors Association
- Publication Type :
- Academic Journal
- Accession number :
- 12807579
- Full Text :
- https://doi.org/10.1097/01.JAM.0000052520.62718.13