A cost measurement study for a home-based telehospice service

2000 ◽  
Vol 6 (1_suppl) ◽  
pp. 193-195 ◽  
Author(s):  
Gary C Doolittle
Keyword(s):  
Cost Effectiveness ◽  
Hospice Care ◽  
Home Visits ◽  
Measurement Study ◽  
Home Based ◽  
Cost Measurement ◽  
Time Periods ◽  
Traditional Care ◽  
The Cost ◽  
Telemedical Care

A telehospice service is one in which telemedicine is used to provide hospice care in the home. To date, there have been few studies addressing the cost of home-based telemedical care, and none that specifically addresses cost-effectiveness for telehospice recipients. We measured costs for traditional hospice care as well as those associated with launching and operating a telehospice service. The costs were tallied over two separate three-month periods. For the first study period, costs were measured for traditional hospice home visits. During the second, expenses were monitored for traditional (in-person) and telehospice visits. For traditional care, the cost per visit was $126 and $141, for the first and second time periods, respectively. The average telehospice visit cost was $29.

scholarly journals Dental Home Visits for Caries Prevention Among Preschool Children: Protocol for a Cost-Effectiveness Analysis on a Randomized Control Trial (Preprint)

2018 ◽  
Author(s):  
Niekla Survia Andiesta ◽  
Maimunah A Hamid ◽  
KKC Lee ◽  
Allan Pau
Keyword(s):  
Cost Effectiveness ◽  
Oral Health ◽  
Young Children ◽  
Dental Treatment ◽  
Home Visits ◽  
Cost Effectiveness Analysis ◽  
Caries Prevention ◽  
Effectiveness Analysis ◽  
Dental Home ◽  
The Cost

BACKGROUND In 2012, nearly 4000 children in Malaysia were referred to hospital pediatric dental services due to dental caries. Recent research has reported the effectiveness of dental home visits in preventing caries development in young children. Dental home visits (DHVs) are described as an ongoing relationship between the dentist and their patients, providing all aspects of a preventive oral health care program in the presence of the parents at home. OBJECTIVE The objective of this study is to evaluate the cost-effectiveness of dental home visits and oral health information, in the form of educational leaflets, in preventing new caries development in young children, compared to those receiving only educational leaflets over a period of two years. Cost-effectiveness analysis will be used to evaluate the cost-effectiveness of dental home visits. METHODS This is a collaborative project with the Oral Health Division of the Ministry of Health Malaysia. The Oral Health Division will provide access to a subsample from the National Oral Health of Preschoolers Survey which was carried out in 2015. The population of interest is children aged 5 and 6 years from kindergartens in the Selangor state of Malaysia. The study adopted a societal perspective for cost-effectiveness analysis and all types of resources that are of value to society will be included in analyzing the costs; such as cost to the patient, cost to the provider or institution, and indirect costs because of loss of productivity. RESULTS The trial has been approved by the International Medical University Malaysia’s Joint Research and Ethics Committee (Project ID: IMU R157-2014 [File III – 2016]). This trial is currently recruiting participants. CONCLUSIONS The number of young children in Malaysia who have been referred to the hospital children’s dentistry service for severe caries is disturbing. The cost of dental treatment in young children is high due to the severity of the caries which require an aggressive treatment, and the need for general anesthesia or sedation. This study will provide information on the cost and effectiveness of DHVs in caries prevention of young children in Malaysia. REGISTERED REPORT IDENTIFIER RR1-10.2196/10053

Cost-effectiveness of telerehabilitation versus traditional care after total hip replacement: A trial-based economic evaluation

2019 ◽  
pp. 1357633X1986979 ◽  
Author(s):  
Mark Nelson ◽  
Trevor Russell ◽  
Kay Crossley ◽  
Michael Bourke ◽  
Steven McPhail
Keyword(s):  
Cost Effectiveness ◽  
Health Service ◽  
Hospital Discharge ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Randomised Trial ◽  
Total Hip ◽  
Time Burden ◽  
Traditional Care ◽  
The Cost

Introduction: Physical rehabilitation for total hip replacement patients following hospital discharge is beneficial; however, accessing rehabilitation is often challenging. Telerehabilitation helps negate access issues and is efficacious in total knee and hip replacement patients. This study aims to compare the cost-effectiveness of a telerehabilitation programme delivered remotely into patients’ homes versus traditional care for total hip replacement patients following hospital discharge. Methods: A cost-effectiveness (cost-utility) analysis was conducted from the perspective of a health service alongside a two-arm randomised controlled trial comparing telerehabilitation ( n=35) with in-person care ( n=35) following hospital discharge after total hip replacement. The primary analysis used an Incremental Cost-Effectiveness Ratio to compare the cost per Quality Adjusted Life Year (QALY) accrued in the telerehabilitation group versus in-person control using costs and effects data from the randomised trial. A secondary analysis was conducted whereby the time accrued by patients attending rehabilitation sessions (including travel time) was considered the “cost” (i.e. a time burden), rather than cost from the health service perspective. Results: Estimated mean differences in healthcare costs and QALYs gained were detected but were not significant. The estimated mean (95%CI) difference in cost of telerehabilitation versus in-person was –$28.90 (–$96.37 to $40.45), favouring the telerehabilitation group. The estimated mean (95%CI) difference in QALYs gained from telerehabilitation versus in-person was –0.0025 (–0.0227 to 0.0217). The estimated mean (95%CI) difference in time burden favoured less time burden for the telerehabilitation group (–4.21 (–4.69 to –3.74) hours). Discussion: Telerehabilitation in the total hip replacement population incurred similar costs and yielded similar effects to traditional in-person care. Telerehabilitation significantly reduced the time burden for patients and carers. These findings are valuable for healthcare providers seeking to implement accessible patient-centred rehabilitation services.

scholarly journals The cost effectiveness of home-based provision of antiretroviral therapy in rural Uganda

2009 ◽  
Vol 7 (4) ◽  
pp. 229-243 ◽  
Author(s):  
Elliot Marseille ◽  
James G. Kahn ◽  
Christian Pitter ◽  
Rebecca Bunnell ◽  
William Epalatai ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Antiretroviral Therapy ◽  
Home Based ◽  
The Cost

scholarly journals Cost Comparisons between Home- and Clinic-Based Testing for Sexually Transmitted Diseases in High-Risk Young Women

2007 ◽  
Vol 2007 ◽  
pp. 1-5 ◽  
Author(s):  
Kenneth J. Smith ◽  
Robert L. Cook ◽  
Roberta B. Ness
Keyword(s):  
Cost Effectiveness ◽  
Cost Saving ◽  
Controlled Trial ◽  
Cost Savings ◽  
Indirect Costs ◽  
Sexually Transmitted ◽  
Home Based ◽  
Home Testing ◽  
Testing Cost ◽  
The Cost

Home testing for chlamydia and gonorrhea increases screening rates, but the cost consequences of this intervention are unclear. We examined the cost differences between home-based and clinic-based testing and the cost-effectiveness of home testing based on the DAISY study, a randomized controlled trial. Direct and indirect costs were estimated for home and clinic testing, and cost-effectiveness was calculated as cost per additional test performed. In the clinic testing group, direct costs were $49/test and indirect costs (the costs of seeking or receiving care) were $62/test. Home testing cost was $25/test. We found that home testing was cost saving when all testing for all patients was considered. However cost savings were not seen when only asymptomatic tests or when patient subgroups were considered. A home testing program could be cost saving, depending on whether changes in clinic testing frequency occur when home testing is available.

The cost-effectiveness of increasing kidney transplantation and home-based dialysis

Nephrology ◽  
2009 ◽  
Vol 14 (1) ◽  
pp. 123-132 ◽  
Author(s):  
KIRSTEN HOWARD ◽  
GLENN SALKELD ◽  
SARAH WHITE ◽  
STEPHEN MCDONALD ◽  
STEVE CHADBAN ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Cost Effectiveness ◽  
Home Based ◽  
The Cost

Home-based versus hospital-based care for serious mental illness

1998 ◽  
Vol 172 (6) ◽  
pp. 506-512 ◽  
Author(s):  
Martin R. J. Knapp ◽  
Isaac M. Marks ◽  
Jane Wolstenholme ◽  
Jennifer K. Beecham ◽  
Jack Astin ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Standard Care ◽  
Cost Effective ◽  
Controlled Study ◽  
Sample Attrition ◽  
Home Based ◽  
The Difference ◽  
Randomised Controlled ◽  
The Cost ◽  
Home Based Care

BackgroundThe Daily Living Programme (DLP) offered intensive home-based care with problem-centred case management for seriously mentally ill people facing crisis admission to the Maudsley Hospital, London. The cost-effectiveness of the DLP was examined over four years.MethodA randomised controlled study examined cost-effectiveness of DLP versus standard in/out-patient hospital care over 20 months, followed by a randomised controlled withdrawal of half the DLP patients into standard care. Three patient groups were compared over 45 months: DLP throughout the period, DLP for 20 months followed by standard care, and standard care throughout. Bivariate and multivariate analyses were conducted (the latter to standardise for possible inter-sample differences stemming from sample attrition and to explore sources of within-sample variation).ResultsThe DLP was more cost-effective than control care over months 1–20, and also over the full 45-month period, but the difference between groups may have disappeared by the end of month 45.ConclusionsThe reduction of the cost-effectiveness advantage for home-based care was perhaps partly due to the attenuation of DLP care, although sample attrition left some comparisons under-powered.

Sign in / Sign up

Export Citation Format

Share Document