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