Christopher James Sampson
An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS)
Sampson, Christopher James; James, Marilyn; Whitehead, Phillip; Drummond, Avril E.R.
Authors
Professor MARILYN JAMES MARILYN.JAMES@NOTTINGHAM.AC.UK
PROFESSOR OF HEALTH ECONOMICS
Phillip Whitehead
Professor AVRIL DRUMMOND AVRIL.DRUMMOND@NOTTINGHAM.AC.UK
PROFESSOR OF HEALTHCARE RESEARCH
Abstract
Introduction: Occupational therapy interventions, such as home visits, have been identified as being resource-intensive, but cost-effectiveness analyses are rarely, if ever, carried out. We sought to estimate the cost-effectiveness of occupational therapy home visits after stroke, as part of a feasibility study, and to demonstrate the value and methods of economic evaluation.
Method: We completed a cost-effectiveness analysis of pre-discharge occupational therapy home visits after stroke compared with a hospital-based interview, carried out alongside a feasibility randomized controlled trial. Our primary outcome was quality-adjusted life years. Full cost and outcome data were available for 65 trial participants.
Results: We found that the mean total cost of a home visit was £183, compared with £75 for a hospital interview. Home visits are shown to be slightly more effective, resulting in a cost per quality-adjusted life year of just over £20,000.
Conclusion: Our analysis is the only economic evaluation of this intervention to date. Home visits are shown to be more expensive and more effective than a hospital-based interview, but our results are subject to a high level of uncertainty and should be treated as such. Further economic evaluations in this field are encouraged.
Citation
Sampson, C. J., James, M., Whitehead, P., & Drummond, A. E. (2014). An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS). British Journal of Occupational Therapy, 77(7), https://doi.org/10.4276/030802214X14044755581664
Journal Article Type | Article |
---|---|
Publication Date | Jul 1, 2014 |
Deposit Date | May 22, 2015 |
Publicly Available Date | May 22, 2015 |
Journal | British Journal of Occupational Therapy |
Print ISSN | 0308-0226 |
Electronic ISSN | 1477-6006 |
Publisher | SAGE Publications |
Peer Reviewed | Peer Reviewed |
Volume | 77 |
Issue | 7 |
DOI | https://doi.org/10.4276/030802214X14044755581664 |
Public URL | https://nottingham-repository.worktribe.com/output/729779 |
Publisher URL | http://bjo.sagepub.com/content/77/7/330 |
Files
hovisbjotpostprint.pdf
(329 Kb)
PDF
You might also like
Bleeding with intensive versus guideline antiplatelet therapy in acute cerebral ischaemia
(2023)
Journal Article
Trends in hospital admissions for childhood fractures in England
(2021)
Journal Article