Contact information
Type
Scientific
Primary contact
Dr Sasha Shepperd
ORCID ID
Contact details
Primary Care and General Practice
Imperial College School of Medicine
Norfolk Place
London
W2 1PG
United Kingdom
+44 (0)207 594 3364
S.Shepperd@ic.ac.uk
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
PSI - 637
Study information
Scientific title
Acronym
Study hypothesis
The aim of the trial was to evaluate the health outcomes and costs of hospital at home compared with in-patient hospital care.
Ethics approval
Not provided at time of registration
Study design
Randomised controlled trial
Primary study design
Observational
Secondary study design
Randomised controlled trial
Trial setting
Other
Trial type
Treatment
Patient information sheet
Condition
Healthcare delivery costs
Intervention
i. Hospital at home
ii. In-patient hospital care
Intervention type
Other
Phase
Not Specified
Drug names
Primary outcome measure
General and disease specific health status, patient and carer satisfaction and preferences, readmission rates, length of stay, resource use and cost to the health service, carer burden and anxiety and carer and patient cost. Few differences in outcome were detected. Hospital at home does not reduce total health care costs for the conditions we studied in this trial. Total health care costs are significantly increased for patients recovering from a hysterectomy and those with chronic obstructive airways disease. There is some evidence that costs are shifted to primary care for elderly medical patients and those with chronic obstructive airways disease.
Secondary outcome measures
Not provided at time of registration
Overall trial start date
01/09/1996
Overall trial end date
01/12/1998
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
Elderly medical, chronic obstructive airways disease, patients recovering from a hip replacement, knee replacement, and hysterectomy.
Participant type
Patient
Age group
Senior
Gender
Not Specified
Target number of participants
Not provided at time of registration
Participant exclusion criteria
Not provided at time of registration
Recruitment start date
01/09/1996
Recruitment end date
01/12/1998
Locations
Countries of recruitment
United Kingdom
Trial participating centre
Primary Care and General Practice
London
W2 1PG
United Kingdom
Sponsor information
Organisation
Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Sponsor details
The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom
Sponsor type
Government
Website
Funders
Funder type
Government
Funder name
NHS Primary and Secondary Care Interface National Research and Development Programme (UK)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Basic results (scientific)
Publication list
1. 2008 three month follow results in http://www.ncbi.nlm.nih.gov/pubmed/9624068
2. 2008 cost minimisation analysis results in http://www.ncbi.nlm.nih.gov/pubmed/9624069
Publication citations
-
Three month follow results
Shepperd S, Harwood D, Jenkinson C, Gray A, Vessey M, Morgan P, Randomised controlled trial comparing hospital at home care with inpatient hospital care. I: three month follow up of health outcomes., BMJ, 1998, 316, 7147, 1786-1791.
-
Cost minimisation analysis results
Shepperd S, Harwood D, Gray A, Vessey M, Morgan P, Randomised controlled trial comparing hospital at home care with inpatient hospital care. II: cost minimisation analysis., BMJ, 1998, 316, 7147, 1791-1796.