Max Jajszczok, Cathy A Eastwood, Mingshan Lu, Ceara Cunningham, Hude Quan
{"title":"阿尔伯塔省家庭护理投资的影响:生态和经济趋势分析。","authors":"Max Jajszczok, Cathy A Eastwood, Mingshan Lu, Ceara Cunningham, Hude Quan","doi":"10.12927/hcpol.2025.27616","DOIUrl":null,"url":null,"abstract":"<p><p>No standardized cost-based homecare-specific indicators are used provincially or nationally in Canada. We trended and portrayed Alberta's homecare costs and health system usage between 2015-16 and 2019-20. In addition, we conducted a cost-effectiveness ratio analysis. Total avoided acute care utilization was estimated at 346.2 thousand in-patient days. With $240.3 million in homecare investments above general growth, our cost-effectiveness ratio is 694:1. Application of these cost-based indicators reveals that homecare programs improve system cost-effectiveness. These indicators can assist health-system policy makers in understanding how systems are structured, specifically in achieving the goal of sustaining the publicly funded health system.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 3","pages":"58-77"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280357/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impacts of Homecare Investments in Alberta: Ecological and Economic Trend Analysis.\",\"authors\":\"Max Jajszczok, Cathy A Eastwood, Mingshan Lu, Ceara Cunningham, Hude Quan\",\"doi\":\"10.12927/hcpol.2025.27616\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>No standardized cost-based homecare-specific indicators are used provincially or nationally in Canada. We trended and portrayed Alberta's homecare costs and health system usage between 2015-16 and 2019-20. In addition, we conducted a cost-effectiveness ratio analysis. Total avoided acute care utilization was estimated at 346.2 thousand in-patient days. With $240.3 million in homecare investments above general growth, our cost-effectiveness ratio is 694:1. Application of these cost-based indicators reveals that homecare programs improve system cost-effectiveness. These indicators can assist health-system policy makers in understanding how systems are structured, specifically in achieving the goal of sustaining the publicly funded health system.</p>\",\"PeriodicalId\":39389,\"journal\":{\"name\":\"Healthcare Policy\",\"volume\":\"20 3\",\"pages\":\"58-77\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280357/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Healthcare Policy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.12927/hcpol.2025.27616\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Healthcare Policy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12927/hcpol.2025.27616","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
Impacts of Homecare Investments in Alberta: Ecological and Economic Trend Analysis.
No standardized cost-based homecare-specific indicators are used provincially or nationally in Canada. We trended and portrayed Alberta's homecare costs and health system usage between 2015-16 and 2019-20. In addition, we conducted a cost-effectiveness ratio analysis. Total avoided acute care utilization was estimated at 346.2 thousand in-patient days. With $240.3 million in homecare investments above general growth, our cost-effectiveness ratio is 694:1. Application of these cost-based indicators reveals that homecare programs improve system cost-effectiveness. These indicators can assist health-system policy makers in understanding how systems are structured, specifically in achieving the goal of sustaining the publicly funded health system.