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

Boris A. Brühmann (), Klaus Kaier, Rieka Warth and Erik Farin-Glattacker
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Boris A. Brühmann: University of Freiburg
Klaus Kaier: University of Freiburg
Rieka Warth: University of Freiburg
Erik Farin-Glattacker: University of Freiburg

The European Journal of Health Economics, 2023, vol. 24, issue 8, No 8, 1343-1355

Abstract: 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

Keywords: Claims data; Cost analysis; Secondary data; Propensity score; Complex health intervention; Nursing home residents (search for similar items in EconPapers)
JEL-codes: H51 I10 (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1007/s10198-022-01546-7

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