Impact on costs of a case management intervention for emergency department frequent users

TitreImpact on costs of a case management intervention for emergency department frequent users
Publication TypeConference Paper
Year of Publication2015
AuthorsMoschetti, K, Iglesias, K, Baggio, S, Velonaki, V, Ruggeri, O, Hugli, O, Burnand, B, Daeppen, J-B, Wasserfallen, J-B, Bodenmann, P
Conference NamePraxis
Publisher83. Jahresversammlung der Schweizerischen Gesellschaft für Allgemeine Innere Medizin (SGIM)/83e assemblée annuelle de la Société Suisse de Médecine Interne Générale (SSMI), 20.-22. Mai 2015 Congress Center Basel
ISBN Number1661-8157

Background: In most of the emergency departments (ED) in developed countries, a subset of patients visits the ED frequently. Despite their small numbers, these patients are the source of a disproportionally high number of all ED visits, and use a significant proportion of healthcare resources. They place a heavy economic burden on hospital and healthcare system budgets overall. In order to improve the management of these patients, the University hospital of Lausanne, Switzerland implemented a case management intervention (CM) between May 2012 and July 2013. In this randomized controlled trial, 250 frequent ED users (visits>5 during previous 12 months) were allocated to either the CM group or the standard ED care (SC) group and followed up for 12 months. The first result of the CM was to reduce significantly the ED visits. The present study examined whether the CM intervention also reduced the costs generated by the ED frequent users not only from the hospital perspective, but also from the healthcare system perspective. Methods: Cost data were obtained from the hospital's analytical accounting system and from health insurances. Multivariate linear models including a fixed effect "group" and socio-demographic characteristics and health-related variables were run.


Poster 397

Citation Key / SERVAL IDserval:BIB_A270E21C1B1E


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