Telemed J E Health - Analysis of the impact of the Birmingham OwnHealth program on secondary care utilization and cost: a retrospective cohort study.

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Resumo

CKGROUND: This study aimed to assess the impact of the Birmingham OwnHealth(?) program (a partnership among the National Health Service [NHS] Birmingham East and North, formerly Birmingham East and North PCT, as the commissioner, Pfizer Health Solutions [Tadworth, United Kingdom] as the primary contractor, and NHS Direct as a subcontractor) on the number of unscheduled secondary care spells and the cost of care for patients with long-term conditions. This article reports a retrospective cohort study conducted at the NHS Birmingham East and North.SUBJECTS AND METHODS: Adults with at least 1 of 10 defined long-term conditions were eligible for inclusion. Patients in the OwnHealth program were compared with those in a matched comparison group from a population who were eligible but did not enroll in the program. The main outcome measures were the difference in the number of secondary care spells (defined as the experience between hospital admission and discharge) between the OwnHealth group and the comparison group and the difference in the cost of care (calculated from the cost of activities during secondary care spells).RESULTS: The mean number of secondary care spells per person per year in the OwnHealth group was 0.61 (standard deviation [SD] 1.35) compared with 0.84 (SD 1.49) in the comparison group (p<0.0005). This constituted a 27% reduction in secondary care spells per person per year. The mean cost of secondary care spells per person per year in the OwnHealth group was $1,305 (SD $3,138) compared with $1,678 (SD $3,485) in the comparison group (p<0.0005).DISCUSSION: This difference in costs constituted a 27% reduction in utilization and 22% reduction in cost of secondary care with the OwnHealth program.CONCLUSIONS: Telehealth intervention can reduce the cost of secondary care of some patients with long-term conditions.

Resumo Limpo

ckground studi aim assess impact birmingham ownhealth program partnership among nation health servic nhs birmingham east north former birmingham east north pct commission pfizer health solut tadworth unit kingdom primari contractor nhs direct subcontractor number unschedul secondari care spell cost care patient longterm condit articl report retrospect cohort studi conduct nhs birmingham east northsubject method adult least defin longterm condit elig inclus patient ownhealth program compar match comparison group popul elig enrol program main outcom measur differ number secondari care spell defin experi hospit admiss discharg ownhealth group comparison group differ cost care calcul cost activ secondari care spellsresult mean number secondari care spell per person per year ownhealth group standard deviat sd compar sd comparison group p constitut reduct secondari care spell per person per year mean cost secondari care spell per person per year ownhealth group sd compar sd comparison group pdiscuss differ cost constitut reduct util reduct cost secondari care ownhealth programconclus telehealth intervent can reduc cost secondari care patient longterm condit

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