Rosendal H, Nijhof P, Van Beekum WT, De Witte LP, Schrijvers AJ; International Society of Technology Assessment in Health Care. Meeting.
Annu Meet Int Soc Technol Assess Health Care Int Soc Technol Assess Health Care Meet. 2000; 16: 046.
TNO Prevention and Health, P.O. Box 2215, 2301 CE Leiden, The Netherlands
Introduction: To assess whether shared care for patients undergoing total hip replacement delivers better outcomes compared to care as usual, a prospective observational cohort study was carried out. Methods-115 patients undergoing total hip replacement were included in this study: 56 in the shared care setting (experimental group) and 59 in a care as usual setting (control group). Main outcome measures were functional health status according to the sickness impact profile (SIP), hip function, patient satisfaction and use of health care services. Results: Two weeks before hip replacement both groups were comparable concerning patient characteristics, hip function and health status. The mean improvement of the total sip-score between two weeks before hip replacement and six months after, was -1.94 in the shared care group, compared to -5.24 in the care as usual group, a difference in favor (p=0.001) of care as usual. Length of hospital stay was comparable in both settings: 12.8 days in the shared care group and 13.2 days in the care as usual group. After hip replacement, compared to care as usual, patients in the shared care group received more homecare, with a higher frequency, and for a longer period of time. No differences in patient satisfaction between the two groups were found. Conclusions: Six months after hip replacement, the health status of patients in the care as usual group, using significantly less home care, was better than the status of patients in the shared care group. On base of these results, we suggest that the utilization of homecare after hip replacement should be critically appraised in view of the need to stimulate patients' independency. Further, we suggest to assess other aspects of care also, such as satisfaction of health care providers.
Publication Types:
Keywords:
- Arthroplasty, Replacement, Hip
- Health Status
- Health Status Indicators
- Humans
- Longitudinal Studies
- Outcome Assessment (Health Care)
- Patient Satisfaction
- Sickness Impact Profile
- surgery
- hsrmtgs
Other ID:
UI: 102271957
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