title: [Hospital care for acute stroke at the Palestrina hospital: comparison of cost and quality of care with an “hospital at home” care model].
abstract: BACKGROUND
  In the Lazio Region (Central Italy) the Emergency Care network has been recently re-arranged in order to improve the effectiveness of care. The aim of this paper is to assess the impact of stroke patient care on both cost and organization of the hospital of Palestrina (Lazio Region).
  
  
  METHODS
  An analysis of cost and path of care of all stroke patients (239) with stroke attending the hospital in 2010 has been carried out.
  
  
  RESULTS
  The care was more expensive than the one offered to the stroke patients attending the “Hospital at Home” service managed by the San Giovanni Battista Hospital in Turin; moreover the care was incomplete because of the lack of rehabilitation services in the hospital catchment area.
  
  
  CONCLUSIONS
  The care model offered to stroke patient hit by stroke in Palestrina needs to be deeply revised.
authors.affiliation: Azienda USL RM G, Ospedale di Palestrina "Coniugi Bernardini"
authors.forename: M A
authors.initials: MA
authors.lastname: Paradiso
authors.forename: M R
authors.initials: MR
authors.lastname: Alvaro
authors.forename: G
authors.initials: G
authors.lastname: Liotta
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002391:Catchment Area, Health; D003365:Costs and Cost Analysis; D003953:Diagnosis-Related Groups; D005260:Female; D018575:Home Care Services, Hospital-Based / Q000191:economics*; D006760:Hospitalization / Q000191:economics*; D006779:Hospitals, Public / Q000191:economics*; D006801:Humans; D007558:Italy; D008875:Middle Aged; D008962:Models, Theoretical; D011787:Quality of Health Care; D020127:Recovery of Function; D012189:Retrospective Studies; D020521:Stroke / Q000191:economics* / Q000628:therapy; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome