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Costing shared care.

K Buckingham1, N Drummond, I Cameron

  • 1Health Services Research Unit, University of Aberdeen.

Health Services Management
|January 8, 1994
PubMed
Summary
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Shared care schemes for asthma offer a cost-effective alternative to traditional outpatient services. This study compared the costs of integrated care versus conventional hospital outpatient management for chronic asthma patients.

Area of Science:

  • Health Services Research
  • Respiratory Medicine
  • Health Economics

Background:

  • Increasing interest in shared healthcare models.
  • Introduction of GP fund holding and internal markets in healthcare.
  • Need to evaluate cost-effectiveness of new care schemes.

Purpose of the Study:

  • To compare the relative costs of a shared care scheme for asthma.
  • To evaluate this scheme against conventional outpatient care.
  • To inform healthcare provision for chronic asthma management.

Main Methods:

  • Randomized controlled trial design.
  • Inclusion of patients with chronic asthma referred to hospital outpatient clinics.
  • Data collection on costs associated with different care models.

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Main Results:

  • Shared care demonstrated a favorable cost comparison to outpatient care.
  • Quantified the economic impact of integrated asthma management.
  • Provided data on resource utilization in shared vs. conventional care.

Conclusions:

  • Shared care schemes represent a potentially cost-saving approach for managing chronic asthma.
  • Integrated care models can be economically viable.
  • Findings support the wider adoption of shared care in respiratory health.