Identifying patient-level health and social care costs for older adults discharged from acute medical units in England
Background: Acute medical units allow for those who need admission to be correctly identified, and for those who could be managed in ambulatory settings to be discharged. However, readmission rates for older people following discharge from acute medical units are high and may be associated with subs...
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| Format: | Article |
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Oxford University Press
2014
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| Online Access: | https://eprints.nottingham.ac.uk/41071/ |
| _version_ | 1848796190099898368 |
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| author | Franklin, Matthew Berdunov, Vladislav Edmans, Judi Conroy, Simon Gladman, John R.F. Tanajewski, Lukasz Gkountouras, Georgios Elliott, Rachel A. |
| author_facet | Franklin, Matthew Berdunov, Vladislav Edmans, Judi Conroy, Simon Gladman, John R.F. Tanajewski, Lukasz Gkountouras, Georgios Elliott, Rachel A. |
| author_sort | Franklin, Matthew |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: Acute medical units allow for those who need admission to be correctly identified, and for those who could be managed in ambulatory settings to be discharged. However, readmission rates for older people following discharge from acute medical units are high and may be associated with substantial health and social care costs.
Objective: Identifying patient-level health and social care costs for older people discharged from acute medical units in England.
Design: Prospective cohort study of health and social care resource use.
Setting: An acute medical unit in Nottingham, England.
Participants: 456 people aged over 70 who were discharged from an acute medical unit within 72 hours of admission.
Methods: Hospitalisation and social care data were collected for three months post-recruitment. In Nottingham, further approvals were gained to obtain data from general practices, ambulance services, intermediate care and mental healthcare. Resource use was combined with national unit costs.
Results: Costs from all sectors were available for 250 participants. Mean (95% CI, median, range) total cost was £1926 (1579-2383, 659, 0-23612).
Contribution was: secondary care (76.1%), primary care (10.9%), ambulance service (0.7%), intermediate care (0.2%), mental healthcare (2.1%) and social care (10.0%). The costliest 10% of participants accounted for 50% of the cost.
Conclusions: This study highlights the costs accrued by older people discharged from AMUs: they are mainly (76%) in secondary care and half of all costs were incurred by a minority of participants (10%). |
| first_indexed | 2025-11-14T19:44:02Z |
| format | Article |
| id | nottingham-41071 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:44:02Z |
| publishDate | 2014 |
| publisher | Oxford University Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-410712020-05-04T16:50:33Z https://eprints.nottingham.ac.uk/41071/ Identifying patient-level health and social care costs for older adults discharged from acute medical units in England Franklin, Matthew Berdunov, Vladislav Edmans, Judi Conroy, Simon Gladman, John R.F. Tanajewski, Lukasz Gkountouras, Georgios Elliott, Rachel A. Background: Acute medical units allow for those who need admission to be correctly identified, and for those who could be managed in ambulatory settings to be discharged. However, readmission rates for older people following discharge from acute medical units are high and may be associated with substantial health and social care costs. Objective: Identifying patient-level health and social care costs for older people discharged from acute medical units in England. Design: Prospective cohort study of health and social care resource use. Setting: An acute medical unit in Nottingham, England. Participants: 456 people aged over 70 who were discharged from an acute medical unit within 72 hours of admission. Methods: Hospitalisation and social care data were collected for three months post-recruitment. In Nottingham, further approvals were gained to obtain data from general practices, ambulance services, intermediate care and mental healthcare. Resource use was combined with national unit costs. Results: Costs from all sectors were available for 250 participants. Mean (95% CI, median, range) total cost was £1926 (1579-2383, 659, 0-23612). Contribution was: secondary care (76.1%), primary care (10.9%), ambulance service (0.7%), intermediate care (0.2%), mental healthcare (2.1%) and social care (10.0%). The costliest 10% of participants accounted for 50% of the cost. Conclusions: This study highlights the costs accrued by older people discharged from AMUs: they are mainly (76%) in secondary care and half of all costs were incurred by a minority of participants (10%). Oxford University Press 2014-07-24 Article PeerReviewed Franklin, Matthew, Berdunov, Vladislav, Edmans, Judi, Conroy, Simon, Gladman, John R.F., Tanajewski, Lukasz, Gkountouras, Georgios and Elliott, Rachel A. (2014) Identifying patient-level health and social care costs for older adults discharged from acute medical units in England. Age & Ageing, 43 (5). pp. 703-707. ISSN 0002-0729 Economic evaluation Acute Medical Unit Costing methodology Primary care Secondary care Social care https://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/afu073 doi:10.1093/ageing/afu073 doi:10.1093/ageing/afu073 |
| spellingShingle | Economic evaluation Acute Medical Unit Costing methodology Primary care Secondary care Social care Franklin, Matthew Berdunov, Vladislav Edmans, Judi Conroy, Simon Gladman, John R.F. Tanajewski, Lukasz Gkountouras, Georgios Elliott, Rachel A. Identifying patient-level health and social care costs for older adults discharged from acute medical units in England |
| title | Identifying patient-level health and social care costs for older adults discharged from acute medical units in England |
| title_full | Identifying patient-level health and social care costs for older adults discharged from acute medical units in England |
| title_fullStr | Identifying patient-level health and social care costs for older adults discharged from acute medical units in England |
| title_full_unstemmed | Identifying patient-level health and social care costs for older adults discharged from acute medical units in England |
| title_short | Identifying patient-level health and social care costs for older adults discharged from acute medical units in England |
| title_sort | identifying patient-level health and social care costs for older adults discharged from acute medical units in england |
| topic | Economic evaluation Acute Medical Unit Costing methodology Primary care Secondary care Social care |
| url | https://eprints.nottingham.ac.uk/41071/ https://eprints.nottingham.ac.uk/41071/ https://eprints.nottingham.ac.uk/41071/ |