|Appears in Collections:||Faculty of Health Sciences and Sport Journal Articles|
|Peer Review Status:||Refereed|
|Title:||Comparison of the costs of care during acute illness by two community children’s nursing teams|
Kyle, Richard G
|Citation:||Callery P, Kyle RG, Weatherly H, Banks M, Ewing C, Powell P & Kirk S (2013) Comparison of the costs of care during acute illness by two community children’s nursing teams, Emergency Medicine Journal, 30 (12), pp. 1029-1032.|
|Abstract:||Objective: To compare the costs associated with care by two community children's nursing teams (CCNT). Design: A case study incorporating questionnaire survey, analysis of routinely collected data and analysis of costs in the north-west England. Patients: Children with acute illness referred for CCNT care. Interventions: Two CCNT provided care for 273 children during acute illness in order to reduce the number and duration of hospital admissions. Main Outcome Measures: Costs of CCNT, other services and costs to families. Results: The objectives of both CCNT included shortening and avoiding hospitalisations. Most (45 (58%) in case A and 150 (77%) in case B) children were referred for infections. There were differences in the proportion of children who had been hospitalised (45 (57.7%) and 78 (40%)), the mean number of services used before referral to CCNT (1.6 and 2.2) and the staffing profile of the CCNT. There was a statistically significant difference in the overall mean cost to the NHS of CCNT care (£146 and £238, 95% CI for difference of means 7 to 184), associated with higher proportions of children having telephone-only contact (two (3%) and 46 (24%)) and children using almost twice as many other health services during care by one CCNT (means 0.27 and 0.51). Conclusions: Costs of CCNT care can vary widely when all health service use is taken into account. Differences in the way CCNT are integrated with the urgent care system, and the way in which CCNT care is organised, could contribute to variations in costs.|
|Rights:||The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.|
|10 Callery et al (2012) EMJ.pdf||89.57 kB||Adobe PDF||Under Permanent Embargo Request a copy|
Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependent on the depositor still being contactable at their original email address.
This item is protected by original copyright
Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.
If you believe that any material held in STORRE infringes copyright, please contact email@example.com providing details and we will remove the Work from public display in STORRE and investigate your claim.