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Benchmarking European Home Care Models for Older Persons on Societal Costs : The IBenC Study

Benchmarking European Home Care Models for Older Persons on Societal Costs : The IBenC Study


Title: Benchmarking European Home Care Models for Older Persons on Societal Costs : The IBenC Study
Author: van Lier, Lisanne I.
van der Roest, Henriëtte G.
Garms-Homolová, Vjenka
Onder, Graziano
Jónsson, Pálmi V.
Declercq, Anja
Hertogh, Cees M.P.M.
van Hout, Hein P.J.
Bosmans, Judith E.
Date: 2021-06
Language: English
Scope:
University/Institute: Landspitali - The National University Hospital of Iceland
Department: Faculty of Medicine
Geriatric and Rehabilitation Services
Series: Health Services Insights; 14()
ISSN: 1178-6329
DOI: https://doi.org/10.1177/11786329211022441
Subject: Heimahjúkrun; Aldraðir; Kostnaður; Home care models; international benchmarking; older adults; societal costs; Health Policy; Public Health, Environmental and Occupational Health
URI: https://hdl.handle.net/20.500.11815/3069

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Citation:

van Lier , L I , van der Roest , H G , Garms-Homolová , V , Onder , G , Jónsson , P V , Declercq , A , Hertogh , C M P M , van Hout , H P J & Bosmans , J E 2021 , ' Benchmarking European Home Care Models for Older Persons on Societal Costs : The IBenC Study ' , Health Services Insights , vol. 14 . https://doi.org/10.1177/11786329211022441

Abstract:

This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

Description:

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the 7th Framework Programme of the European Commission (grant number 305912). The European Commission had no role in any of the following: study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. © The Author(s) 2021.

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