Skip to main content

Research Repository

Advanced Search

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

Christopher James Sampson chris.sampson@nottingham.ac.uk

MARILYN JAMES MARILYN.JAMES@NOTTINGHAM.AC.UK
Professor of Health Economics

Phillip Whitehead Phillip.J.Whitehead@nottingham.ac.uk

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), doi: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 0308-0226
Publisher SAGE Publications (UK and US)
Peer Reviewed Peer Reviewed
Volume 77
Issue 7
DOI https://doi.org/10.4276/030802214X14044755581664
Public URL http://eprints.nottingham.ac.uk/id/eprint/28871
Publisher URL http://bjo.sagepub.com/content/77/7/330
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

Files

hovisbjotpostprint.pdf (329 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





You might also like



Downloadable Citations