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Acute admissions to a community hospital: a descriptive cost study

Author

Listed:
  • Lappegard, Øystein

    (Vestre Viken Hospital Trust)

  • Hagen, Terje P.

    (Department of Health Management and Health Economics)

  • Hjortdahl, Per

    (Department of General Practice)

Abstract

Introduction: In several countries, health-care providers are searching for alternatives to hospitalization. In recent years, a practice has been established in Hallingdal, a rural region in Norway, in which patients with certain acute somatic illnesses are admitted to Hallingdal Sjukestugu (HSS), a community hospital 150 km from the nearest general hospital, Ringerike Sykehus (RS). A randomized, controlled study was carried out to compare health consequences, patient-perceived quality and health-care costs between patients acutely admitted to HSS and to RS. This paper discusses the topic of health-care costs. Methods: Patients intended for acute admission to HSS, as an alternative to hospitalization, were included in the study. Eligible patients were randomized to two groups; admitted to HSS (n = 33), and admitted to RS (n = 27). Costs were compared between the two groups at discharge and for the 12-month follow-up. Results: The cost of the inpatient stay at HSS was significantly lower than the cost at RS, which is explained by lower transport costs (p

Suggested Citation

  • Lappegard, Øystein & Hagen, Terje P. & Hjortdahl, Per, 2016. "Acute admissions to a community hospital: a descriptive cost study," HERO Online Working Paper Series 2016:9, University of Oslo, Health Economics Research Programme.
    • Handle: RePEc:hhs:oslohe:2016_009
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    File URL: http://www.med.uio.no/helsam/forskning/nettverk/hero/publikasjoner/skriftserie/2016/2016-9.pdf
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    References listed on IDEAS

    as
    1. Lappegard, Øystein & Hjortdahl, Per, 2014. "Perceived quality of an alternative to acute hospitalization: An analytical study at a community hospital in Hallingdal, Norway," Social Science & Medicine, Elsevier, vol. 119(C), pages 27-35.
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      More about this item

      Keywords

      health economy; rural health care systems; patient admission; emergency health-care services; general practitioners; community hospitals;
      All these keywords.

      JEL classification:

      • H42 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Private Goods
      • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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