Cost effectiveness of nurse case management compared with an existing system of care

Persistent Link:
http://hdl.handle.net/10150/292108
Title:
Cost effectiveness of nurse case management compared with an existing system of care
Author:
Doerge, Jean Boehm, 1951-
Issue Date:
1992
Publisher:
The University of Arizona.
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Abstract:
The study evaluated the cost-effectiveness of community based Nurse Case Management (NCM) utilizing existing hospital information systems data. Program outcomes of intensive NCM were compared with those of existing hospital programs for a group at high risk for readmission. Thirty-one elderly patients were assigned to one of three groups. A retrospective pretest-posttest design was used and multivariate analyses were performed. Outcomes were measured at six month intervals before and after NCM. The intensive NCM group had a higher length of stay and inpatient costs than the other two groups. Direct costs of NCM were estimated at $1.55 per active case per day. The study found that cost-effectiveness of NCM cannot be determined accurately unless health risk assessments are quantified, NCM is clearly translated into categories of intervention, and direct costs of NCM are measured consistently. These factors must be integrated into routine hospital information system reports.
Type:
text; Thesis-Reproduction (electronic)
Keywords:
Cost-Benefit Analysis.; Economics, Nursing.; Patient Care Planning.
Degree Name:
M.S.
Degree Level:
masters
Degree Program:
Graduate College; Nursing
Degree Grantor:
University of Arizona
Advisor:
Alexander, Mary
Committee Chair:
Alexander, Mary

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_US
dc.titleCost effectiveness of nurse case management compared with an existing system of careen_US
dc.creatorDoerge, Jean Boehm, 1951-en_US
dc.contributor.authorDoerge, Jean Boehm, 1951-en_US
dc.date.issued1992-
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.description.abstractThe study evaluated the cost-effectiveness of community based Nurse Case Management (NCM) utilizing existing hospital information systems data. Program outcomes of intensive NCM were compared with those of existing hospital programs for a group at high risk for readmission. Thirty-one elderly patients were assigned to one of three groups. A retrospective pretest-posttest design was used and multivariate analyses were performed. Outcomes were measured at six month intervals before and after NCM. The intensive NCM group had a higher length of stay and inpatient costs than the other two groups. Direct costs of NCM were estimated at $1.55 per active case per day. The study found that cost-effectiveness of NCM cannot be determined accurately unless health risk assessments are quantified, NCM is clearly translated into categories of intervention, and direct costs of NCM are measured consistently. These factors must be integrated into routine hospital information system reports.en_US
dc.typetexten_US
dc.typeThesis-Reproduction (electronic)en_US
dc.subjectCost-Benefit Analysis.en_US
dc.subjectEconomics, Nursing.en_US
dc.subjectPatient Care Planning.en_US
thesis.degree.nameM.S.en_US
thesis.degree.levelmastersen_US
thesis.degree.disciplineGraduate Collegeen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorUniversity of Arizonaen_US
dc.contributor.advisorAlexander, Maryen_US
dc.contributor.chairAlexander, Maryen_US
dc.contributor.committeememberAlexander, Maryen_US
dc.contributor.committeememberGerber, Roseen_US
dc.contributor.committeememberLamb, Gerrien_US
dc.identifier.proquest1347785-
dc.identifier.bibrecord.b27530231-
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