期刊
HEALTH AFFAIRS
卷 31, 期 6, 页码 1227-1236出版社
PROJECT HOPE
DOI: 10.1377/hlthaff.2012.0142
关键词
-
资金
- National Institutes of Health [R01 AG029233, AG10418, K24 AR052667]
- S.D. Bechtel Jr. Foundation
Acute Care for Elders Units offer enhanced care for older adults in specially designed hospital units. The care is delivered by interdisciplinary teams, which can include geriatricians, advanced practice nurses, social workers, pharmacists, and physical therapists. In a randomized controlled trial of 1,632 elderly patients, length-of-stay was significantly shorter-6.7 days per patient versus 7.3 days per patient-among those receiving care in the Acute Care for Elders Unit compared to usual care. This difference produced lower total inpatient costs-$9,477 per patient versus $10,451 per patient-while maintaining patients' functional abilities and not increasing hospital readmission rates. The practices of Acute Care for Elders Units, and the principles they embody, can provide hospitals with effective strategies for lowering costs while preserving quality of care for hospitalized elders.
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