@article{ref1,
title="Health care services and costs after hip fracture, comparing conventional versus standardised care: a retrospective study with 12-month follow-up",
journal="Injury",
year="2021",
author="Haugan, Kristin and Halsteinli, Vidar and Døhl, Øystein and Basso, Trude and Johnsen, Lars G. and Foss, Olav A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIMS: To compare costs related to a standardised versus conventional hospital care for older patients after fragility hip fracture and determine whether a shift in hospital care led to cost-shifts between specialists and primary health care. <br><br>METHODS: We retrospectively collected and calculated volumes of care and accompanying costs from fracture time until 12 months after hospital discharge for 979 patients. All patients aged ≥ 65 years had fragility hip fractures. The data set had few missing data points because of the patient registry, administrative databases, and a low migration rate. <br><br>RESULTS: Total costs per patient at 12 months were EUR 78 164 (standard deviation [SD] 58 056) and EUR 78 068 (SD 60 131) for conventional and standardised care, respectively (p = 0.480). Total specialist care costs were significantly lower for the standardised care group (p < 0.001). Total primary care costs were higher for the standardised care group (p = 0.424). Total costs per day of life for the conventional and standardised care groups were EUR 434 and EUR 371, respectively (p = 0.003). Patients in the standardised care group had 17 more days of life. <br><br>CONCLUSIONS: Implementation of a standardised care to improve outcomes for patients with hip fracture caused lower specialist care costs and higher primary care costs, indicating care- and cost-shifts from specialist to primary health care.<p /> <p>Language: en</p>",
language="en",
issn="0020-1383",
doi="10.1016/j.injury.2021.01.034",
url="http://dx.doi.org/10.1016/j.injury.2021.01.034"
}