{"id":23533,"date":"2026-03-06T18:42:42","date_gmt":"2026-03-06T17:42:42","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=23533"},"modified":"2026-03-06T18:42:42","modified_gmt":"2026-03-06T17:42:42","slug":"omkostningsanalyse-af-hjemmeindlaeggelse-af-plejehjemsbeboere-en-dansk-mikro-omkostningstilgang","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/03\/06\/omkostningsanalyse-af-hjemmeindlaeggelse-af-plejehjemsbeboere-en-dansk-mikro-omkostningstilgang\/","title":{"rendered":"Omkostningsanalyse af hjemmeindl\u00e6ggelse af plejehjemsbeboere: En dansk mikro-omkostningstilgang"},"content":{"rendered":"

\"\"<\/p>\n

Thomsen, Sarah Heisel Nyholm; Haarsl\u00f8v, Sanne Stoklund; Petersen, Maria; Abdi, Anisa Muhiyadin; Kimborg, Sandra; Ris\u00f8r, Bettina Wulff; <\/span>S\u00f8rensen<\/a>, Jan & Xylander, Alexander Arndt Pasgaard. \u201cCost analysis of admitting nursing home residents to hospital at home: A Danish micro-costing approach\u201d. Public Health, Jan 2026, Vol. 250., article number: 106065., <\/span>DOI: <\/span>10.1016\/j.puhe.2025.106065<\/a><\/p>\n

Af Sarah Heisel Nyholm Thomsen, projektmedarbejder, Cand.scient.san.publ., Sygeplejerske.<\/em><\/span> sarahhnt@icloud.com<\/a><\/p>\n

Download som PDF<\/a><\/p>\n

Resum\u00e9
\n<\/span>Form\u00e5l
\n<\/span><\/strong>Hospitalsbehandling i hjemmet (Hospital at Home) er et nyt plejekoncept, der har til form\u00e5l at reducere hospitalsindl\u00e6ggelser ved at tilbyde specialiseret behandling til patienter i eget hjem. Form\u00e5let med dette studie var at sammenligne omkostningerne ved en hjemmeindl\u00e6ggelsesmodel med traditionel hospitalsindl\u00e6ggelse for plejehjemsbeboere med akut sygdom i Region Nordjylland.<\/span><\/p>\n

Studiedesign
\n<\/span><\/strong>Studiet anvendte en retrospektiv “micro-costing”-tilgang baseret p\u00e5 indledende fund fra den tidlige implementering af hjemmeindl\u00e6ggelsesmodellen. Analysen blev udf\u00f8rt fra et udvidet sundheds-sektorperspektiv.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Der blev udviklet en omfattende model for forl\u00f8bene ved hhv. en hjemmeindl\u00e6ggelse og en hospitalsindl\u00e6ggelse baseret p\u00e5 politiske dokumenter, kliniske retningslinjer og interview med administrative medarbejdere og ledende sundhedspersonale. Data vedr\u00f8rende ressourceforbrug blev indhentet fra kliniske eksperter og tidsregistreringsskemaer. Omkostningerne til ressourceforbruget blev v\u00e6rdisat ved hj\u00e6lp af l\u00f8ndata for forskellige faggrupper, DRG-takster og enhedsomkostninger for utensiler. De estimerede omkostninger for de forskellige indl\u00e6ggelsesmodeller blev sammenlignet, og en deterministisk f\u00f8lsomhedsanalyse identificerede de v\u00e6sentligste faktorer for forskellen i omkostningerne.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Analysen viste, at hjemmeindl\u00e6ggelsesmodellen er forbundet med omkostningsbesparelser p\u00e5 40\u201345 % sammenlignet med traditionelle hospitalsindl\u00e6ggelser. Desuden indikerer f\u00f8lsomhedsanalysen, at det er afg\u00f8rende at tage h\u00f8jde for omfanget af den ekstra tid, kommunalt sundhedspersonalet afs\u00e6tter til omsorg, pleje og behandling, n\u00e5r en plejehjemsbeboer hjemmeindl\u00e6gges, da dette parameter har v\u00e6sentlig indflydelse p\u00e5 omkostningerne forbundet med hjemmeindl\u00e6ggelse.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Baseret p\u00e5 omkostningsanalysen var hjemmeindl\u00e6ggelsesmodellen billigere end den traditionelle hospitalsindl\u00e6ggelse. Disse resultater var robuste over for variationer i ressourceforbruget ved forskellige aktiviteter i hjemme-indl\u00e6ggelsesmodellen. Datagrundlaget i denne analyse var meget begr\u00e6nset, hvorfor der er brug for yderligere forskning p\u00e5 omr\u00e5det.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Thomsen, Sarah Heisel Nyholm; Haarsl\u00f8v, Sanne Stoklund; Petersen, Maria; Abdi, Anisa Muhiyadin; Kimborg, Sandra; Ris\u00f8r, Bettina Wulff; S\u00f8rensen, Jan & 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