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Impacts of Homecare Investments in Alberta: Ecological and Economic Trend Analysis
Max Jajszczok1, Cathy A Eastwood2, Mingshan Lu3
1Researcher, Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Executive Lead Island Health, Rural Remote, Clinical Operations and Strategy, Clinical Service Planning, Value-Based Healthcare, Victoria, BC.
Abstract:
No standardized cost-based homecare-specific indicators are used provincially or nationally in Canada. We trended and portrayed Alberta's homecare costs and health system usage between 2015-16 and 2019-20. In addition, we conducted a cost-effectiveness ratio analysis. Total avoided acute care utilization was estimated at 346.2 thousand in-patient days. With $240.3 million in homecare investments above general growth, our cost-effectiveness ratio is 694:1. Application of these cost-based indicators reveals that homecare programs improve system cost-effectiveness. These indicators can assist health-system policy makers in understanding how systems are structured, specifically in achieving the goal of sustaining the publicly funded health system.
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