The Costs of Urinary Incontinence in Nursing Homes

Bibliographic Data

ID9103092
AuthorsJoseph G Ouslander (0000-0003-3985-5797, University of California, Los Angeles), Robert L Kane (0009-0005-8505-6218, UCLA Health)
Year1984
Volume22
Issue1
Pages69-79
Publication date1984-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198401000-00006
PMID6694461
OpenAlexW1991417296
LanguageEN
Citations received3

A simple model was used to calculate the contribution of urinary incontinence (UI) to the costs of nursing home care. First-order costs are defined as the costs of managing UI: supplies, laundry, and labor. Second-order costs are defined as the costs of managing the complications of UI. Data were gathered from nursing homes, medical supply companies, and a large laundry company. First-order costs of four common methods of managing UI range between $ 3.00 and $ 11.00 per incontinent patient per day. Based on these estimates, UI accounts for between $ 0.5 and $ 1.5 billion (3-8%) of the costs of nursing home care. Management of UI with indwelling catheters results in the lowest first-order costs, but the second-order costs (as well as the potential increased morbidity and mortality risks) probably outweigh any cost savings. More active evaluation and treatment of UI in nursing homes could result in considerable cost savings and improved well-being for both patients and caregivers

Business · Cost–benefit analysis · Economics · Health care · Laundry · Medical costs · Nursing homes · Operations management · Order (exchange) · Urinary incontinence · Finance · Geriatric Care and Nursing Homes · Global Health Care Issues · Insurance, Mortality, Demography, Risk Management · Medicine · Nursing · Surgery

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