IDEAS home Printed from https://ideas.repec.org/a/spr/eujhec/v24y2023i8d10.1007_s10198-022-01546-7.html
   My bibliography  Save this article

Cost–benefit analysis of the CoCare intervention to improve medical care in long-term care nursing homes: an analysis based on claims data

Author

Listed:
  • Boris A. Brühmann

    (University of Freiburg)

  • Klaus Kaier

    (University of Freiburg)

  • Rieka Warth

    (University of Freiburg)

  • Erik Farin-Glattacker

    (University of Freiburg)

Abstract

Background Providing adequate medical care to nursing home residents is challenging. Transfers to emergency departments are frequent, although often avoidable. We conducted the complex CoCare intervention with the aim to optimize nursing staff–physician collaboration to reduce avoidable hospital admissions and ambulance transportations, thereby reducing costs. Methods This prospective, non-randomized study, based on German insurance data, includes residents in nursing homes. Health care cost from a payer perspective and cost–savings of such a complex intervention were investigated. The utilisation of services after implementation of the intervention was compared with services in previous quarters as well as services in the control group. To compensate for remaining differences in resident characteristics between intervention and control group, a propensity score was determined and adjusted for in the regression analyses. Results The study population included 1240 residents in the intervention and 7552 in the control group. Total costs of medical services utilisation were reduced by €468.56 (p

Suggested Citation

  • Boris A. Brühmann & Klaus Kaier & Rieka Warth & Erik Farin-Glattacker, 2023. "Cost–benefit analysis of the CoCare intervention to improve medical care in long-term care nursing homes: an analysis based on claims data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(8), pages 1343-1355, November.
    • Handle: RePEc:spr:eujhec:v:24:y:2023:i:8:d:10.1007_s10198-022-01546-7
    DOI: 10.1007/s10198-022-01546-7
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10198-022-01546-7
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10198-022-01546-7?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Sarah Neubauer & Kristine Kreis & Mike Klora & Jan Zeidler, 2017. "Access, use, and challenges of claims data analyses in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 533-536, June.
    2. repec:mpr:mprres:6215 is not listed on IDEAS
    3. Kreis, Kristine & Neubauer, Sarah & Klora, Mike & Lange, Ansgar & Zeidler, Jan, 2016. "Status and perspectives of claims data analyses in Germany—A systematic review," Health Policy, Elsevier, vol. 120(2), pages 213-226.
    4. Kümpel, Christian & Schneider, Udo, 2020. "Additional reimbursement for outpatient physicians treating nursing home residents reduces avoidable hospital admissions: Results of a reimbursement change in Germany," Health Policy, Elsevier, vol. 124(4), pages 470-477.
    5. Alecia Nickless & Merryn Voysey & John Geddes & Ly-Mee Yu & Thomas R Fanshawe, 2018. "Mixed effects approach to the analysis of the stepped wedge cluster randomised trial—Investigating the confounding effect of time through simulation," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-22, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Johanna Callhoff & Hannes Jacobs & Katinka Albrecht & Joachim Saam & Angela Zink & Falk Hoffmann, 2020. "Factors Associated with Survey Non-Response in a Cross-Sectional Survey of Persons with an Axial Spondyloarthritis or Osteoarthritis Claims Diagnosis," IJERPH, MDPI, vol. 17(24), pages 1-13, December.
    2. Stefanie March, 2017. "Individual Data Linkage of Survey Data with Claims Data in Germany—An Overview Based on a Cohort Study," IJERPH, MDPI, vol. 14(12), pages 1-16, December.
    3. Maria Paula Valk-Draad & Sabine Bohnet-Joschko, 2022. "Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review," IJERPH, MDPI, vol. 19(19), pages 1-23, October.
    4. Laudicella, Mauro & Li Donni, Paolo & Prete, Vincenzo, 2024. "Healthcare utilisation by diabetic patients in Denmark: the role of primary care in reducing emergency visits," Health Policy, Elsevier, vol. 145(C).
    5. Katharina Kähm & Michael Laxy & Udo Schneider & Rolf Holle, 2019. "Exploring Different Strategies of Assessing the Economic Impact of Multiple Diabetes-Associated Complications and Their Interactions: A Large Claims-Based Study in Germany," PharmacoEconomics, Springer, vol. 37(1), pages 63-74, January.
    6. Udo Schneider & Andreas Schmid & Roland Linder & Dirk Horenkamp-Sonntag & Frank Verheyen, 2018. "The Choice of Transcatheter Aortic Valve Implementation (TAVI): Do Patient Co-morbidity and Hospital Ownership Type Matter?," Applied Health Economics and Health Policy, Springer, vol. 16(5), pages 735-744, October.
    7. Fränce Hardtstock & Zeki Kocaata & Thomas Wilke & Axel Dittmar & Marco Ghiani & Vasily Belozeroff & David J. Harrison & Ulf Maywald & Hans Tesch, 2021. "Healthcare resource utilization and associated cost of patients with bone metastases from solid tumors who are naïve to bone-targeting agents: a comparative analysis of patients with and without skele," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(2), pages 243-254, March.
    8. Lara Maleyeff & Fan Li & Sebastien Haneuse & Rui Wang, 2023. "Assessing exposure‐time treatment effect heterogeneity in stepped‐wedge cluster randomized trials," Biometrics, The International Biometric Society, vol. 79(3), pages 2551-2564, September.
    9. Sarah Neubauer & Kristine Kreis & Mike Klora & Jan Zeidler, 2017. "Access, use, and challenges of claims data analyses in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 533-536, June.

    More about this item

    Keywords

    Claims data; Cost analysis; Secondary data; Propensity score; Complex health intervention; Nursing home residents;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:eujhec:v:24:y:2023:i:8:d:10.1007_s10198-022-01546-7. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.