Helge Garåsen The Trondheim Model - NSDM
Helge Garåsen The Trondheim Model - NSDM
Helge Garåsen The Trondheim Model - NSDM
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
4.2.5.3 Censoring of data<br />
Average costs can lead to serious biases in the presence of censoring (141-143). Ignoring<br />
censored data can lead to an underestimation of mean total costs (142).<br />
One possible censoring method is to use a weighted cost method with known histories. For<br />
the dead patients, with this method, estimates are done of average days of care for each group<br />
and then potential care costs are calculated as if they had been alive for the whole period of<br />
follow-up.<br />
In the present study there were no dropouts during the observation period except for the<br />
deaths. All data and costs for each patient were recorded individually from the time of<br />
randomisation, index day, and until 180 and 360 days of follow-up after discharge from either<br />
community hospital or general hospital or until death. Average care costs were estimated per<br />
patient per day and per service according to where the patient actually received care (141-<br />
142).<br />
4.2.6 Patient consumer survey 2004.<br />
<strong>The</strong> municipality of <strong>Trondheim</strong> carried out a survey amongst all patients at the 27 nursing<br />
homes in <strong>Trondheim</strong> in 2004 (N=1250). A modified questionnaire was given to patients<br />
admitted to the community hospital at Søbstad Teaching Nursing Home in November and<br />
December 2004.<strong>The</strong> same questionnaire was also used at a nursing home in the municipality<br />
of Bærum (Henie Onstad Nursing Home, HOBR) where SINTEF Health Research did a<br />
similar survey (144). <strong>The</strong> results from Søbstad (n=39) and HOBR (n=25) were presented in a<br />
report by SINTEF in 2005.<br />
<strong>The</strong> results of the survey in <strong>Trondheim</strong><br />
Fifty percent of the respondents at Søbstad were above 80 years of age, and 72 % were<br />
females (144). Only eleven (28.2 %) did know whom their primary care contact was at the<br />
community hospital at Søbstad. 78 % could follow normal sleeping- and eating-rhythms, and<br />
about 90 % was satisfied with the help they received with personal hygiene (toilet visits,<br />
baths/showers). Asked if the food was appetising, 80 % answered yes, and 37 of the patients<br />
felt that they got enough food.<br />
54