Comparative Costs of Home Care and Residential Care

Chappell, Neena L.; Dlitt, Betty Havens; Hollander, Marcus J.; Miller, JoAnn; McWilliam, Carol L.

doi:10.1093/geront/44.3.389

Cited by 140 publications

(94 citation statements)

References 17 publications

(13 reference statements)

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“…Given that these two client types typically access home-based care for different reasons, their needs are often quite different. As such, the extent to which previous studies' findings apply to non-cognitively impaired clients and younger, short-term clients is unknown (Chappell et al 2004;Di Matteo and Di Matteo 2001;Hawranik 1998;Hawranik and Strain 2001;Mitchell et al 2004;Morgan et al 2002;Penning 1995;Peterson et al 2005). Hence, the second objective of this study was to determine the extent to which short-term and long-term clients differ with respect to their use of privately financed home-based services.…”

Section: Résumémentioning

confidence: 96%

“…Of the studies that have addressed costs (Alcock et al 1998;Chappell et al 2004;Di Matteo and Di Matteo 2001;Guerriere, Tullis et al 2006), very few have focused on privately financed care (Browne et al 1990;Guerriere, Tullis et al 2006), only one has considered the determinants of public costs (Alcock et al 1998) and none has explored the determinants of privately financed care. To gain a comprehensive appreciation of the financing context in which ambulatory and home-based care is delivered and received, it is imperative to assess costs incurred by clients and their family and friends.…”

Section: Résumémentioning

confidence: 99%

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The Magnitude, Share and Determinants of Private Costs Incurred by Clients (and Their Caregivers) of In-home Publicly Financed Care

Leong

Guerriere²,

Croxford³

et al. 2007

hcpol

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Home-based health services remain one of the fastest-growing sectors in the Canadian healthcare system. While there have been studies addressing the characteristics of home care users and the determinants of utilization, the costs associated with the use of home care services, particularly private costs, have been largely neglected. To gain a comprehensive appreciation of the financing context in which ambulatory and homebased care is delivered and received, it is imperative to assess costs incurred by clients and their family/friends. Accordingly, this study examined the magnitude and determinants of the share of private costs incurred by Ontarians who received in-home publicly financed services and by their unpaid caregivers. The private share of costs was found to be 75%. Determinants of the private share included participants' gender, martial status, functioning in activities of daily living and the type and length of service received. These findings suggest that recipients of home-based health services in Ontario may bear an economic burden when care is shifted into the home setting.

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Section: Résumémentioning

confidence: 96%

Section: Résumémentioning

confidence: 99%

The Magnitude, Share and Determinants of Private Costs Incurred by Clients (and Their Caregivers) of In-home Publicly Financed Care

Leong

Guerriere²,

Croxford³

et al. 2007

hcpol

View full text Add to dashboard Cite

show abstract

“…In Canada for example, while one Canadian out of eight was older than 65 years old in 2001, this proportion will be one out of five in 2026 (PHAC, 2002), due in particular to the "baby boomers" post-world war II and the increase of life expectancy. Several studies (Chappell et al, 2004;Senate, 2009) have shown that helping elderly people staying at home is interesting from a human perspective, but also from a financial perspective. Hence the interest to develop new healthcare systems to ensure the safety of elderly people at home.…”

Section: Contextmentioning

confidence: 99%

Video Surveillance for Fall Detection

Rougier¹,

St-Arnaud²,

Rousseau³

et al. 2011

Video Surveillance

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“…Obviously, this arbitrary practice is less than ideal and does not reflect the broader theoretical considerations considered above. However, it is a commonly used alternative to actual wages and does provide some comparability across studies (e.g., Chappell, Dlitt, Hollander, Miller, & McWilliam, 2004;Feldman et al, 2004;Shireman, Tsevat, & Goldie, 2001).…”

Section: Note That This Entire Framework Is Not Without Controversy-wmentioning

confidence: 99%

Measuring Time Costs in Interventions Designed to Reduce Behavior Problems Among Children and Youth

Foster

Johnson-Shelton

Taylor

2007

American J of Comm Psychol

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The economic evaluation of psychosocial interventions is a growing area of research. Though time costs are central to the economist's understanding of social costs, these costs generally have been ignored by prevention scientists. This article highlights the need to measure such costs and then reviews the principles economists use in valuing time. It then considers the specific time costs that often arise in interventions designed to reduce behavior problems among children and youth. These include classroom time devoted to program activities, the time of parents or other caregivers, the time of teachers (outside of the classroom), and the time of volunteers. We consider the economic principles that govern how economists value these inputs and then apply these principles to data from an evaluation of a prominent intervention in the field, the Incredible Years Program. We find that the time costs are potentially rather large and consider the implications for public policy of ignoring them. KeywordsCosts-and Cost-Analysis; Health-Care-Costs; Behavior-Problems; Mental-Health-Services; School-Based-Intervention; Parent-Training Interest in the economic analysis of interventions and services to prevent or treat behavioral health problems among children and youth is growing rapidly (Aos, Lieb, Mayfield, Miller, & Pennucci, 2004;Foster, Dodge, & Jones, 2003). These analyses take various forms, such as cost-effectiveness analyses (Jensen et al., in press) or various forms of benefit-cost analyses, including analyses of the effect of improved services on spending on public services (Foster & Connor, in press-a,in press-b). These different forms of economic analyses all build on a common foundation, an estimate of program or service cost.Much of the information needed for estimating these costs can be found in program budgets 1 , and the methodology for estimating those costs has been developed and refined by health economists (Drummond & Mcguire, 2001;Drummond, O'Brien, Stoddart, & Torrance, 1997;Gold, Russell, Siegel, & Weinstein, 1996;Haddix, Teutsch, & Corso, 2003). (Note that by budgetary costs we mean expenditures actually realized rather than those planned.) One area that remains unresolved, however, involves the value of time that study participants spend in intervention activities and treatment, especially when they are not compensated.Direct all correspondence and send offprints to: School of Public Health, University of North Carolina, Chapel Hill, Rosenau Hall, Campus Box# 7445, Chapel Hill, NC 27599-7445, (919) 370-9472, e-mail: emfoster@unc.edu 1 Especially when those budgets are organized at the start of the study in a way that allows one to attend to key tasks in the costs analyses, such as separating the costs of research from service or intervention delivery. See Foster and Jones (2003). NIH Public Access Author ManuscriptAm J Community Psychol. Author manuscript; available in PMC 2007 September 1. Participants' time costs can be important in understanding the true costs of an intervention, espe...

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Comparative Costs of Home Care and Residential Care

Abstract: Nevertheless, the results reveal that home care is significantly less costly than residential care even when informal caregiver time is valued at replacement wage.

Cited by 140 publications

References 17 publications

The Magnitude, Share and Determinants of Private Costs Incurred by Clients (and Their Caregivers) of In-home Publicly Financed Care

The Magnitude, Share and Determinants of Private Costs Incurred by Clients (and Their Caregivers) of In-home Publicly Financed Care

Video Surveillance for Fall Detection

Measuring Time Costs in Interventions Designed to Reduce Behavior Problems Among Children and Youth

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