Day hospital as an alternative to inpatient care for cancer patients: A random assignment trial Journal Article
| Authors: | Mor, V.; Stalker, M. Z.; Gralla, R.; Scher, H. I.; Cimma, C.; Park, D.; Flaherty, A. M.; Kiss, M.; Nelson, P.; Laliberte, L.; Schwartz, R.; Marks, P. A.; Oettgen, H. F. |
| Article Title: | Day hospital as an alternative to inpatient care for cancer patients: A random assignment trial |
| Abstract: | A stratified, random-assignment trial of 442 cancer patients was conducted to evaluate medical, psychosocial, and financial outcomes of day hospital treatment as an alternative to inpatient care for certain cancer patients. Eligible patients required: a 4- to 8-hour treatment plan, including chemotherapy and other long-term intravenous (i.v.) treatment; a stable cardiovascular status; mental competence; no skilled overnight nursing; and a helper to assist with home care. Patients were ineligible if standard outpatient treatment was possible. No statistically significant (p < 0.05) differences were found between the Adult Day Hospital (ADH) and Inpatient care in medical or psychosocial outcomes over the 60-day study period. The major difference was in medical costs-approximately one-third lower for ADH patients (p < 0.001) than for the Inpatient group. The study demonstrates that day hospital care of medical oncology patients is clinically equivalent to Inpatient care, causes no negative psychosocial effects, and costs less than Inpatient care. Findings support the trend toward dehospitalization of medical treatment. © 1988. |
| Keywords: | adult; aged; review; cancer patient; comparative study; chemotherapy; methodology; neoplasms; quality of life; patient education; cost effectiveness analysis; hospitalization; pilot projects; cancer care facilities; outcome and process assessment (health care); hospital patient; new york city; life satisfaction; cost; cost-effectiveness; economic aspect; intravenous drug administration; costs and cost analysis; random allocation; middle age; consumer satisfaction; hospitals, special; human; male; female; priority journal; support, non-u.s. gov't; home nursing; day care; hospital bed capacity, 500 and over; randomized design; alternative to hospital; day hospital |
| Journal Title: | Journal of Clinical Epidemiology |
| Volume: | 41 |
| Issue: | 8 |
| ISSN: | 0895-4356 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1988-01-01 |
| Start Page: | 771 |
| End Page: | 785 |
| Language: | English |
| DOI: | 10.1016/0895-4356(88)90164-3 |
| PUBMED: | 3418366 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 6 August 2020 -- Source: Scopus |
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