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Cost-Benefit Analysis of a Case Management Project for the Community-Dwelling Frail Elderly in Hong Kong

Journal of Applied Gerontology

Author: Leung, A. C., Liu, C., Chow, N. W., Chi, I.
Type: Journal Article
Year: 2004


This randomized, controlled trial evaluates the cost-benefit of a case management project for older persons in HongKong. Case managers provided integrated care to participants in an intervention group while participants in a control group received conventional care only. Minimum Data Set-Home Care was used to assess health conditions, and hospital admissions were used as the basis to calculate health care costs. After the intervention, hospital admissions were reduced by 36.8% in the intervention group (p = .01) and 20.4% in the control group. The total number of acute hospital bed-days decreased by 53.1% in the intervention group (p < .05), compared to 4.4% in the control group. Compared with the control group, U.S.$170,448 was saved in acute hospital care and community health services in the intervention group. Well-planned case management interventions reduced hospital admissions and the length of stay in hospitals with corresponding savings in total health care costs.

Further Details

Publish Dates: March 1, 2004
Full Title: Journal of Applied Gerontology
Pages: 70-85
Volume: 23
Issue: 1
Accession Number: December, 2010
Notes: cost-benefit
Electronic Resource Number: 10.1177/0733464804263088
Keywords: older, New South Wales
Reads: 302