An Introduction to Economic Evaluation in Occupational Therapy: Cost-Effectiveness of Pre-Discharge Home Visits after Stroke (HOVIS)

Sampson, Christopher, James, Marilyn, Whitehead, Phillip and Drummond, Avril (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). pp. 330-335. ISSN 0308-0226

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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.

Findings: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.

Item Type:	Article
Uncontrolled Keywords:	Costs, stroke rehabilitation, home assessment
Subjects:	L500 Social Work
Department:	Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User:	Becky Skoyles
Date Deposited:	12 Mar 2018 11:50
Last Modified:	10 Oct 2019 22:45
URI:	http://nrl.northumbria.ac.uk/id/eprint/33680

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