Abstract：
BACKGROUND:It is generally assumed that integrated care has a cost-saving potential in comparison with traditional care. However, there is little evidence on this potential with respect to integrated nursing home care. AIMS AND OBJECTIVES:DESIGN/METHODS/SETTINGS/PARTICIPANTS: Between 1999 and 2003, formal and informal caregivers of different nursing homes in the Netherlands recorded activities performed for residents with somatic or psycho-social problems. In total, 23,380 lists were analysed to determine the average costs of formal and informal care per activity, per type of resident and per nursing home care type. For formal care activities, the total personnel costs per minute (in Euro) were calculated. For informal care costs, two shadow prices were used. RESULTS:Compared to traditional care, integrated care had lower informal direct care costs per resident and per activity and lower average costs per direct activity (for a set of activities performed by formal caregivers). The total average costs per resident per day and the costs of formal direct care per resident, however, were higher as were the costs of delivering a set of indirect activities to residents with somatic problems. CONCLUSIONS:The general assumption that integrated care has a cost-saving potential (per resident or per individual activity) was only partially supported by our research. Our study also raised issues which should be investigated in future research on integrated nursing home care.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Paulus AT,van Raak AJ,Maarse HJdoi
10.1016/j.ijnurstu.2008.05.005subject
Has Abstractpub_date
2008-12-01 00:00:00pages
1764-77issue
12eissn
0020-7489issn
1873-491Xpii
S0020-7489(08)00142-9journal_volume
45pub_type
杂志文章abstract：BACKGROUND:Post-traumatic stress disorder is one of the most prevalent mental health sequelae of intimate partner violence, and as a result, it has been extensively documented in Western literature. However, whether abused women from non-Western cultures experience similar post-traumatic responses to intimate partner v...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2010.01.003
更新日期：2010-07-01 00:00:00
abstract：:The aim of this study is to evaluate the reliability and validity of the Byron Physical Assessment Framework (BPAF). The BPAF is a systems based checklist of physiological measurements, signs, and symptoms designed to structure and document the assessment of a patients physical condition by nursing staff. Initially th...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(98)00042-x
更新日期：1998-12-01 00:00:00
abstract：:This paper describes the findings of a descriptive study into needs of parents of children with Acquired Brain Damage during hospitalisation. Thirty four parents of 28 children treated at a tertiary referral pediatric hospital were interviewed. Parents described their experiences during their child's hospitalisation a...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(99)00016-4
更新日期：1999-06-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,meta分析,评审
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更新日期：2017-08-01 00:00:00
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journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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journal_title：International journal of nursing studies
pub_type： 临床试验,杂志文章
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：2017-09-01 00:00:00
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journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
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更新日期：1994-06-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2020-04-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2012-05-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：2011-01-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：2007-01-01 00:00:00
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pub_type： 杂志文章,评审
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pub_type： 杂志文章,评审
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更新日期：2007-02-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
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更新日期：2018-01-01 00:00:00
