Impact des stratégies de maintien à domicile publiques sur l'efficience du système de santé : une étude comparative entre pays européens

With the acceleration of the ambulatory shift, homecare services have become an essential component of healthcare systems, especially for the elderly, who are their primary beneficiaries. However, how the management of those services impact healthcare systems remains an open research question. The aim of this study, carried out in partnership with Geneva homecare services, is to examine whether the management of home care services by a public institution induces a significant difference in elderly people's hospitalization, institutionalization, use of homecare services, and healthy life expectancy. To this end, we compare the means of those variables, using the latest Eurostat data available (2019), between a group of predominantly public European countries (n=16) and a group of predominantly private European countries (n=10). Our results indicate that the public management of homecare, as developped and implemented by Geneva homecare services, is associated with a lower rate of hospitalization in the elderly. This finding suggests that further investigation is needed on the clinical and organizational practices that may explain this outcome.