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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

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

Avril E.R. Drummond Avril.Drummond@nottingham.ac.uk



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.

Journal Article Type Article
Publication Date Jul 1, 2014
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
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
DOI https://doi.org/10.4276/030802214X14044755581664
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

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





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