dc.contributor.author | Haugan, Kristin | |
dc.contributor.author | Halsteinli, Vidar | |
dc.contributor.author | Døhl, Øystein | |
dc.contributor.author | Basso, Trude | |
dc.contributor.author | Johnsen, Lars Gunnar | |
dc.contributor.author | Foss, Olav A. | |
dc.date.accessioned | 2022-01-10T11:23:24Z | |
dc.date.available | 2022-01-10T11:23:24Z | |
dc.date.created | 2021-03-10T13:49:57Z | |
dc.date.issued | 2021 | |
dc.identifier.issn | 0020-1383 | |
dc.identifier.uri | https://hdl.handle.net/11250/2836704 | |
dc.description.abstract | Aims: To compare costs related to a standardised versus conventional hospital care for older patients after fragility hip fracture and determine whether a shift in hospital care led to cost-shifts between specialists and primary health care. Methods: We retrospectively collected and calculated volumes of care and accompanying costs from fracture time until 12 months after hospital discharge for 979 patients. All patients aged ≥ 65 years had fragility hip fractures. The data set had few missing data points because of the patient registry, administrative databases, and a low migration rate. Results: Total costs per patient at 12 months were EUR 78 164 (standard deviation [SD] 58 056) and EUR 78 068 (SD 60 131) for conventional and standardised care, respectively (p = 0.480). Total specialist care costs were significantly lower for the standardised care group (p < 0.001). Total primary care costs were higher for the standardised care group (p = 0.424). Total costs per day of life for the conventional and standardised care groups were EUR 434 and EUR 371, respectively (p = 0.003). Patients in the standardised care group had 17 more days of life. Conclusions: Implementation of a standardised care to improve outcomes for patients with hip fracture caused lower specialist care costs and higher primary care costs, indicating care- and cost-shifts from specialist to primary health care. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Health care services and costs after hip fracture, comparing conventional versus standardised care: A retrospective study with 12-month follow-up | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.journal | Injury | en_US |
dc.identifier.doi | 10.1016/j.injury.2021.01.034 | |
dc.identifier.cristin | 1896995 | |
dc.relation.project | St Olavs Hospital HF: xxxxxx | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |