An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS)
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 feasi...
| Main Authors: | , , , |
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| Format: | Article |
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SAGE
2014
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| Online Access: | https://eprints.nottingham.ac.uk/28871/ |
| _version_ | 1848793662031396864 |
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| author | Sampson, Christopher James James, Marilyn Whitehead, Phillip Drummond, Avril E.R. |
| author_facet | Sampson, Christopher James James, Marilyn Whitehead, Phillip Drummond, Avril E.R. |
| author_sort | Sampson, Christopher James |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T19:03:51Z |
| format | Article |
| id | nottingham-28871 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:03:51Z |
| publishDate | 2014 |
| publisher | SAGE |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-288712020-05-04T16:48:47Z https://eprints.nottingham.ac.uk/28871/ 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. 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. SAGE 2014-07-01 Article PeerReviewed Sampson, Christopher James, James, Marilyn, Whitehead, Phillip and Drummond, Avril E.R. (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 http://bjo.sagepub.com/content/77/7/330 doi:10.4276/030802214X14044755581664 doi:10.4276/030802214X14044755581664 |
| spellingShingle | Sampson, Christopher James James, Marilyn Whitehead, Phillip Drummond, Avril E.R. An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS) |
| title | An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS) |
| title_full | An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS) |
| title_fullStr | An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS) |
| title_full_unstemmed | An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS) |
| title_short | An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS) |
| title_sort | introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (hovis) |
| url | https://eprints.nottingham.ac.uk/28871/ https://eprints.nottingham.ac.uk/28871/ https://eprints.nottingham.ac.uk/28871/ |