BMJ  2005;330 (26 March), doi:10.1136/bmj.330.7493.0-a

Nurse led intermediate care may not be cost effective in acute hospitals...

Investment in intermediate care in community hospitals may be more cost effective than financing nurse led care for post-acute patients in acute hospitals. In a cost minimisation analysis from an NHS perspective using data from a randomised controlled trial including 238 patients, Walsh and colleagues (p 699) found that total costs at six months were on average significantly higher for nurse led care than standard care in a large teaching hospital (difference £2710, 95% confidence interval £518 to £4903), but there was no difference in patients' physical functioning or destination after discharge.


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Relevant Articles

Nurse led care: Comment in This week in the BMJ is misleading
Peter Griffiths
BMJ 2005 330: 1084. [Extract] [Full Text] [PDF]

Economic evaluation of nurse led intermediate care versus standard care for post-acute medical patients: cost minimisation analysis of data from a randomised controlled trial
Bronagh Walsh, Andrea Steiner, Ruth M Pickering, and Jilly Ward-Basu
BMJ 2005 330: 699. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

  • Griffiths, P. (2005). Nurse led care: Comment in This week in the BMJ is misleading. BMJ 330: 1084-1084 [Full text]  

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Misleading editorial comment
Peter Griffiths
bmj.com, 29 Mar 2005 [Full text]



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