Cost-effectiveness of ‘Program We Care’ for patients with chronic obstructive pulmonary disease: A case-control study

Eliza Mi Ling Wong*, Shuk Man Lo, Ying Chu NG, Larry Lap Yip Lee, T. M.Y. Yuen, Jimmy Tak Shing Chan, Sek Ying Chair

*Corresponding author for this work

    Research output: Contribution to journalJournal articlepeer-review

    1 Citation (Scopus)


    Objectives To evaluate the effectiveness of a discharge program for patients with chronic obstructive pulmonary disease (COPD) patients on discharge from an emergency medical ward on discharge home rate, hospital length of stay (LOS), inpatient admission rate and cost. Background Frequent visits to the emergency department (ED) and subsequent hospital admission are common among patients with COPD, which adds a burden to ED and hospital care. A discharge program was implemented in an ED emergency medical ward. The program consisted of multidisciplinary care, discharge planning, discharge health education on disease management, and continued support from the community nursing services. Methods A retrospective case-control study was used. Data were retrieved and compared between 478 COPD program cases and 478 COPD non-program cases. Results No significant difference was found in age, gender, and triage category, LOS in ED, and readmission rate between the program and non-program groups. The program group demonstrated a significantly higher discharge home rate from the ED (33.89% vs. 20.08%) and fewer medical admissions (40.59% vs. 55.02%) compared with the non-program group, resulting in lower total medical costs after the program was implemented. Conclusion The program provides insight on the strategic planning for discharge care in a short stay unit of emergency department.

    Original languageEnglish
    Pages (from-to)37-41
    Number of pages5
    JournalInternational Emergency Nursing
    Publication statusPublished - 1 Jul 2016

    Scopus Subject Areas

    • Emergency

    User-Defined Keywords

    • Admission
    • Chronic obstructive pulmonary disease
    • Cost-effectiveness
    • Discharge program
    • Emergency department
    • Medical ward


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