Changes in acute hospital costs after employing clinical facilitators to improve stroke care in Victoria, Australia

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http://hdl.handle.net/10138/298929

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Cadilhac , D A , Dewey , H M , Denisenko , S , Bladin , C F & Meretoja , A 2019 , ' Changes in acute hospital costs after employing clinical facilitators to improve stroke care in Victoria, Australia ' , BMC Health Services Research , vol. 19 , 41 . https://doi.org/10.1186/s12913-018-3836-9

Title: Changes in acute hospital costs after employing clinical facilitators to improve stroke care in Victoria, Australia
Author: Cadilhac, Dominique A.; Dewey, Helen M.; Denisenko, Sonia; Bladin, Christopher F.; Meretoja, Atte
Contributor: University of Helsinki, Clinicum
Date: 2019-01-18
Language: eng
Number of pages: 8
Belongs to series: BMC Health Services Research
ISSN: 1472-6963
URI: http://hdl.handle.net/10138/298929
Abstract: BackgroundHospital costs for stroke are increasing and variability in care quality creates inefficiencies. In 2007, the Victorian Government (Australia) employed clinical facilitators for three years in eight public hospitals to improve stroke care. Literature on the cost implications of such roles is rare. We report changes in the costs of acute stroke care following implementation of this program.MethodsObservational controlled before-and-after cohort design. Standardised hospital costing data were compared pre-program (financial year 2006-07) and post-program (2010-11) for all admitted episodes of stroke or transient ischaemic attack (TIA) using ICD-10 discharge codes. Costs in Australian dollars (AUD) were adjusted to a common year 2010. Generalised linear regression models were used for adjusted comparisons.ResultsA 20% increase in stroke and TIA episodes was observed: 2624 pre-program (age>75years: 53%) and 3142 post-program (age>75years: 51%); largely explained by more TIA admissions (up from 785 to 1072). Average length of stay reduced by 22% (pre-program 7.3days to post-program 5.7days, p
Subject: Stroke
Cost-benefit analysis
Healthcare
Policy
LENGTH-OF-STAY
UNITS
IMPLEMENTATION
MULTICENTER
SERVICES
PATHWAYS
3112 Neurosciences
3141 Health care science
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