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Stroke rehabilitation: a cost-effectiveness analysis of a placement scheme

Author

Listed:
  • Sarah Byford
  • Joanna Geddes
  • Margaret Bonsall

Abstract

The Leeds Stroke Rehabilitation Placement Scheme (SRPS) provides short-term intensive support for vulnerable stroke patients on discharge from hospital. A previous study at one year post stroke established the benefits of this community support, demonstrating that patients involved in the scheme were more likely to maintain their three-month post stroke functional ability than patients discharged directly at home, as is conventional. Given the scarcity of resources, however, it is important to demonstrate not only the effectiveness of an intervention but also the cost-effectiveness, in order to ensure that resources are allocated efficiently. The aim of this study was to combine the previously reported effectiveness data with newly gathered cost information, to carry out a cost-effectiveness analysis of the SRPS. The results show that the SRPS attained a unit increase in functional ability, as given by the Barthel Activities of Daily Living Index, at lower cost (£586.85) than the alternative of discharging patients directly home (£5859.48). Although methodological problems and limitations in the data allow only tentative conclusions to be made, the study does highlight the practical problems encountered in the field of cost-effectiveness analysis and makes a number of recommendations to guide future evaluations of stroke rehabilitation services.

Suggested Citation

  • Sarah Byford & Joanna Geddes & Margaret Bonsall, 1995. "Stroke rehabilitation: a cost-effectiveness analysis of a placement scheme," Working Papers 140chedp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:140chedp
    as

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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%20140.pdf
    File Function: First version, 1995
    Download Restriction: no
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    References listed on IDEAS

    as
    1. Melin, A.-L. & Hakansson, S. & Bygren, L.O., 1993. "The cost-effectiveness of rehabilitation in the home: A study of Swedish elderly," American Journal of Public Health, American Public Health Association, vol. 83(3), pages 356-362.
    2. Mike McKenna & Alan Maynard & Ken Wright, 1992. "Is rehabilitation cost effective?," Working Papers 101chedp, Centre for Health Economics, University of York.
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