Cost assessment of home care for discharged patients with moderate to severe dependence

Abstract

Objectives: Toevaluate the cost of home care for patients with moderate-to-severe dependency. Methods: This study retrospectively collected 123 cases of home nursing patients in Taizhou city, a city in southeast China, from January to November 2021 and compared the actual total cost and actual expenditure of home nursing with in-hospital nursing. Results: Thecost of home nursing was higher than that of hospital nursing(vsYuan).Compared to home-based nursing and in-hospital nursing, the reimbursement amount of government-borne medical insurance reimbursement is higher (vsYuan).The actual cost of the patient’s expenses is less than that of home care(vsYuan). There were significant differences between the two groups in the actual total cost and expense reimbursement(vs,p< 0.05; vs,p< 0.05). There was no significant difference between the two groups regardingtotal self-care expenses(p =0.327). Conclusion: The cost of home nursing is high, but the government and the hospital absorb the corresponding expenditure cost, so the actual expenditure of patients is low.Home care saves time and avoids the risk of accidents caused by moving.Home care reflects the medical policy to provide services and cost support through cost analysis. Further, the continuous care of moderate and severe living dependent discharged patients getscomplete nursing care.