Christopher James Sampson email@example.com
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.
Marilyn James firstname.lastname@example.org
Phillip Whitehead Phillip.J.Whitehead@nottingham.ac.uk
Avril E.R. Drummond Avril.Drummond@nottingham.ac.uk
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.
|Journal Article Type||Article|
|Publication Date||Jul 1, 2014|
|Journal||British Journal of Occupational Therapy|
|Publisher||SAGE Publications (UK and US)|
|Peer Reviewed||Peer Reviewed|
|APA6 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|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0|
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0