Project Title: National Evaluation of the Cost-Effectiveness of Homecare (2002)

Research Team:

Hollander, M.J.	Jamieson, E.G.
Alcock, D.	McGeer, A.
Chappell, N.	Milkovich, N.
Gallagher, E	Morris, A.
Uyeno, D.	Ovens, H.
Diem, E	Read, J.
Fassbender, K.	Tousignant, M.
Angus, D.	Hbert, R.
Havens, B.	Desrosiers, J.
Medves, J	Stevens, B.
Hirdes, J.P.	McKeever, P.
Tjam, E.Y.	Daub, S.
McWilliam, C.	Dunn, M..
Fries, B.E.	Gibbins, S.
Miller, J.A.	Guerriere, D.
Jacobs, P.	MacDonell, J
Coyte, P.C.	Ohlsson, A.
Tuokko, H.A.	Ray, K.
Rosenberg, T.	Franko, J.M.
Arundel, C.	Glouberman, S

Health reforms and the ongoing fiscal restraint of the 1990s led planners and policy makers to focus on home and community based services as alternatives to institutional care. Home care has come to be seen as a vehicle for achieving both policy goals by providing services "closer to home," and efficiency goals by lowering costs. National, provincial, and territorial governments, and regional health boards, recognize the importance of the role home care plays in our health care system.

The National Evaluation of the Cost-Effectiveness of Home Care was a major program of research, which provided critical new information to policy makers about the cost-effectiveness of home care in Canada. It had a budget of $1.5 million and was comprised of 15 interrelated substudies, six on the cost-effectiveness of home care compared to care in long term care facilities and nine on the cost-effectiveness of home care as an alternative to care in acute care hospitals. Each substudy examines a particular issue or question that arises out of comparing home care to institutional care and, as such, is like an individual piece of a larger puzzle. The results of the 15 studies, when fitted together, provide a picture of the cost-effectiveness of home care in Canada.

Presentations:

• Hollander, M. & Chappell, N. (2001). Overview of the National Evaluation of the Cost-Effectivenss of Home Care. Vancouver: Presented at the 17th Congress of the International Association of Gerontology.

Publications:

• Hollander, M. & Chappell, N. (2002). Synthesis report: Final report on the national evaluation of the cost-effectiveness of home car. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Hollander, M. J. (2001). Substudy 1: Final report of the study on the comparative cost analysis of home care and residential care services. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Uyeno, D., & Hollander, M. J. (2001). Substudy 2: Care trajectories: The natural history of clients moving through the continuing care system. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Fassbender, K. (2001). Substudy 3: Cost implications of informal supports. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Hollander, M., Chappell, N., Havens, B., McWilliam, C., Walker, E., Shaver, J. & Miller, J.A. (2001). Substudy 4: Pilot study of the costs and outcomes of home care and residential long term care services. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Hollander, M., Chappell, N., Havens, B., McWilliam, C., & Miller, J. A. (2002). Substudy 5: Study of the costs and outcomes of home care and residential long term care services. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Alcock, D., Gallagher, E., Diem, E., Angus, D., & Medves, J. (2000). Substudy 6: Decision-making: Home care or long term care facility. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Hollander, M. J. (2002). Substudy 7: Overview of home care clients. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Hirdes, J. P., Tjam, E. Y., & Fries, B. E. (2001). Substudy 8: Eligibility for community, hospital and institutional services in Canada: A preliminary study of case managers in seven provinces. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Jacobs, P. (2001). Substudy 9: Costs of acute care and home care services. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Tousignant, M., Hbert, R., & Desrosiers, J. (2001). Substudy 10: Economic evaluation of a geriatric day hospital: Cost-benefit analysis based on functional autonomy changes. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Coyte, P. C., Jamieson, E. G., McGeer, A., Milkovich, N., Morris, A., Ovens, H., et al. (2001). Substudy 11: An economic evaluation of hospital-based and home-based intravenous antibiotic therapy for individuals with cellulitis. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Stevens, B., McKeever, P., Coyte, P. C., Daub, S., Dunn, M., Gibbins, S., et al. (2001). Substudy 12: Cost-effectiveness of home versus hospital support of breast feeding in neonates. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Tuokko, H. A., & Rosenberg, T. (2001). Substudy 13: The Geriatric Outcome
  Evaluation Study (GOES). Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Franko, J. M. (2001). Substudy 14: Evaluation of the cost-effectiveness of the Quick Response Program of Saskatoon District Health. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

• Arundel, C., & Glouberman, S. (2001). Substudy 15: An analysis of blockage to the effective transfer of clients from acute care to home care. Victoria: National Evaluation of the Cost-Effectiveness of Home Care.

Links:
Hollander Analytical Services Ltd.