Development and Implementation of Cost System for Home Care and Home Services in Connection with the Demonstration Project for an Integrated Services Network in the Bois-Francs, with Coordination of Services Through Case Management (QC123)
Recipient: UniversitÚ Laval
This project developed a system of cost analysis to evaluate the results of coordinating services to the frail elderly in the Bois-Francs region of Quebec. (See QC403 for an evaluation of this project as it relates to implementation and patient outcomes.) Costs were calculated for home health care and services to the elderly and to the public health and social services network. The economic analysis of costs assumed by the elderly themselves and by their families was not available. The results show that overall costs to the public system are comparable over time between the two regions that were tested, though there were differences in the services used. The researchers conclude that the coordinated services initiative is economically viable because it brings significant benefits to patients without requiring increased expenditure from the public system. Furthermore, they suggest that their model for imputing costs could be used to evaluate other integrated services projects for other client groups.
This project was supported by the Health Transition Fund, which was created in 1997 to provide support for evidence-based decision-making in health care reform by supporting pilot and evaluation projects which test innovative approaches to health care delivery. The views expressed herein do no necessarily represent the official policy of federal, provincial, or territorial governments.