title: An attributable cost model for a telecare system using advanced community alarms.
abstract: We have developed an attributable cost model for a city-based telecare scheme involving 11,618 community alarm users. The equipment was assumed to cost 500 Pounds-1000 Pounds per installation, compared with 175 Pounds for the current system. Because of the significant additional capital cost of the proposed system, it would be necessary to borrow to finance it. For example, if the home equipment cost 500 Pounds per unit, an additional 2.2 million Pounds would be required. Nonetheless, it would be possible to achieve a return on the investment after 10 years. The principal savings would arise from reduced hospital bed costs and reduced residential care. The model suggests that the financial benefits of the proposed system would occur in the ratio of 4% to the local authority housing department, 43% to the National Health Service and 53% to the residential care provider.
authors.affiliation: School of Science and Engineering, University of Abertay Dundee, Bell Street, Dundee DD1 1HG, UK.
authors.forename: S J
authors.initials: SJ
authors.lastname: Brownsell
authors.forename: D A
authors.initials: DA
authors.lastname: Bradley
authors.forename: R
authors.initials: R
authors.lastname: Bragg
authors.forename: P
authors.initials: P
authors.lastname: Catling
authors.forename: J
authors.initials: J
authors.lastname: Carlier
mesh_terms: D000368:Aged; D002201:Capital Expenditures; D002202:Capital Financing; D003153:Community Health Services / Q000191:economics*; D003361:Cost Allocation / Q000379:methods* / Q000706:statistics & numerical data; D017046:Cost Savings; D005260:Female; D006760:Hospitalization / Q000191:economics; D006801:Humans; D008297:Male; D017059:Models, Econometric; D010343:Patient Admission / Q000706:statistics & numerical data; D011315:Preventive Medicine / Q000191:economics; D019114:Remote Consultation / Q000191:economics; D017216:Telemedicine / Q000191:economics* / Q000295:instrumentation; D013686:Telemetry / Q000191:economics* / Q000295:instrumentation; D013997:Time Factors; D019037:Urban Health Services / Q000191:economics*