Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study

L.I. van Lier; H.G. van der Roest; V. Garms-Homolová; G. Onder; P.V. Jónsson; A. Declercq; C.M.P.M. Hertogh; H.P.J. van Hout; J.E. Bosmans

doi:10.1177/11786329211022441

Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study

L.I. van Lier, H.G. van der Roest, V. Garms-Homolová, G. Onder, P.V. Jónsson, A. Declercq, C.M.P.M. Hertogh, H.P.J. van Hout, J.E. Bosmans

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

© The Author(s) 2021.This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

Original language	English
Journal	Health Services Insights
Volume	14
DOIs	https://doi.org/10.1177/11786329211022441
Publication status	Published - 2021

Funding

This study has a prospective longitudinal design, with assessments at baseline, 6 and 12 months. The study is part of the cross-European ‘Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care’ (IBenC) project, funded within the 7th Framework Program of the European Commission. IBenCs primary aim is to identify best practices in home care models across Europe by comparing their costs and quality of care outcomes. The study was approved by relevant legally authorized medical ethical committees in the countries that participated in the IBenC project. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the 7th Framework Programme of the European Commission (grant number 305912). The European Commission had no role in any of the following: study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.

Funders	Funder number
7th Framework Programme of the European Commission	305912
European Commission

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title = "Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study",

abstract = "{\textcopyright} The Author(s) 2021.This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.",

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AU - van Lier, L.I.

AU - van der Roest, H.G.

AU - Garms-Homolová, V.

AU - Onder, G.

AU - Jónsson, P.V.

AU - Declercq, A.

AU - Hertogh, C.M.P.M.

AU - van Hout, H.P.J.

AU - Bosmans, J.E.

PY - 2021

Y1 - 2021

N2 - © The Author(s) 2021.This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

AB - © The Author(s) 2021.This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

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JO - Health Services Insights

JF - Health Services Insights

ER -

Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study

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