Advanced home health care and home rehabilitation: reviewing the scientific evidence on costs and effects

Andersson A, Beck-Friis B, Britton M, Carlsson P, Fridegren I, Furst CJ, Strang P, Willman A, Miller M
Record ID 31998009920
Authors' objectives:

The report addresses advanced home health care, ie, medical care in the home, as an alternative to hospital care.

Authors' recommendations: Advance home health services are offered from approximately 50 sites in Sweden which provide care to between 10 000 and 12 000 patients annually. Most care is delivered to patients in late stages of cancer, but one third of the patients suffer from chronic diseases involving the pulmonary and circulatory systems. In palliative care and the care of children, both patients and family members expressed greater satisfaction with home health services than with hospital care. Otherwise, the results were comparable. There is no scientific evidence to show that home health care results in either higher or lower total costs than other care alternatives. Therefore, at this time, free choice and quality should be the guiding principles in planning advance home health services. Approximately 5 000 patients receive home rehabilitation services, mainly after stroke and hip surgery. Home rehabilitation provides comparable results as alternative forms of rehabilitation as regards patients' quality of life and ability to care for themselves. Costs were also comparable. In home rehabilitation, freedom of choice and local conditions should determine how to best organize this type of care.
Authors' methods: Systematic review
Project Status: Completed
URL for project:
Year Published: 1999
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Sweden
MeSH Terms
  • Costs and Cost Analysis
  • Home Care Services
  • Palliative Care
Organisation Name: Swedish Agency for Health Technology Assessment and Assessment of Social Services
Contact Address: P.O. Box 3657, SE-103 59 Stockholm, Sweden. Tel: +46 8 4123200, Fax: +46 8 4113260
Contact Name:
Contact Email:
Copyright: Swedish Council on Technology Assessment in Health Care (SBU)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.