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

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dc.contributor Landspitali - The National University Hospital of Iceland
dc.contributor.author van Lier, Lisanne I.
dc.contributor.author van der Roest, Henriëtte G.
dc.contributor.author Garms-Homolová, Vjenka
dc.contributor.author Onder, Graziano
dc.contributor.author Jónsson, Pálmi V.
dc.contributor.author Declercq, Anja
dc.contributor.author Hertogh, Cees M.P.M.
dc.contributor.author van Hout, Hein P.J.
dc.contributor.author Bosmans, Judith E.
dc.date.accessioned 2022-04-23T01:01:52Z
dc.date.available 2022-04-23T01:01:52Z
dc.date.issued 2021-06
dc.identifier.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
dc.identifier.issn 1178-6329
dc.identifier.other PURE: 37816317
dc.identifier.other PURE UUID: 44b4986d-9f21-4e2b-a2be-c14d5aae3bff
dc.identifier.other Scopus: 85108255785
dc.identifier.other WOS: 000688469200001
dc.identifier.uri https://hdl.handle.net/20.500.11815/3069
dc.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.
dc.description.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.
dc.language.iso en
dc.relation.ispartofseries Health Services Insights; 14()
dc.rights info:eu-repo/semantics/openAccess
dc.subject Heimahjúkrun
dc.subject Aldraðir
dc.subject Kostnaður
dc.subject Home care models
dc.subject international benchmarking
dc.subject older adults
dc.subject societal costs
dc.subject Health Policy
dc.subject Public Health, Environmental and Occupational Health
dc.title Benchmarking European Home Care Models for Older Persons on Societal Costs : The IBenC Study
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.pmid 34220202
dc.identifier.doi https://doi.org/10.1177/11786329211022441
dc.relation.url http://www.scopus.com/inward/record.url?scp=85108255785&partnerID=8YFLogxK
dc.contributor.department Faculty of Medicine
dc.contributor.department Geriatric and Rehabilitation Services

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