The Costs of Urinary Incontinence in Nursing Homes
作者:
Joseph Ouslander,
Robert Kane,
期刊:
Medical Care
(OVID Available online 1984)
卷期:
Volume 22,
issue 1
页码: 69-79
ISSN:0025-7079
年代: 1984
出版商: OVID
关键词: incontinence;elderly;nursing homes;long-term care;costs of nursing home care
数据来源: OVID
摘要:
A simple model was used to calculate the contribution of urinary incontinence (UI) to the costs of nursing home care. First-order costs are defined as the costs of managing UI: supplies, laundry, and labor. Second-order costs are defined as the costs of managing the complications of UI. Data were gathered from nursing homes, medical supply companies, and a large laundry company. First-order costs of four common methods of managing UI range between $3.00 and $11.00 per incontinent patient per day. Based on these estimates, UI accounts for between $0.5 and $1.5 billion (3-8%) of the costs of nursing home care. Management of UI with indwelling catheters results in the lowest firstorder costs, but the second-order costs (as well as the potential increased morbidity and mortality risks) probably outweigh any cost savings. More active evaluation and treatment of UI in nursing homes could result in considerable cost savings and improved well-being for both patients and caregivers.
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