A cost-effectiveness analysis of a health education programme for elderly persons with age-related macular degeneration: a longitudinal study.

Eklund, Kajsa,1952Gothenburg University,Göteborgs universitet,Institutionen för arbetsterapi och fysioterapi,Institute of Occupational Therapy and Physiotherapy,Institute of Occupational Therapy and Physiotherapy, Sahlgrenska Academy, Göteborg University, Box 455, SE-405 30 Göteborg, Sweden (author)

PURPOSE: To analyse the cost-effectiveness of the activity-based Health Education Programme 'Discovering New Ways' versus a standard Individual Programme. METHOD: Two-hundred and twenty-nine persons were randomized to either the Health Education Programme or an Individual Programme. The present study is based on 131 persons who participated in the 28-month follow-up. Costs for the low vision clinic were documented prospectively along with external costs. A cost-effectiveness analysis was done using cases with an improved level of perceived security in daily activities as the effectiveness measure. RESULTS: The Health Education Programme led to significantly more cases with an improved level of perceived security (45 vs. 10%, CI 95%: 21-49, p value < 0.001) and the total social cost per treatment was lower (28,004 vs. 36,341 SEK). Taken separately the low vision clinic costs were slightly higher due to a higher prescription of assistive devices, but external costs were lower for the Health Education Programme compared to the Individual Programme, though neither of these differences was statistically significant. CONCLUSION: The results suggest that replacing the standard Individual Programme with the Health Education Programme 'Discovering New Ways' is cost-effective as more persons experience increased security to a lesser total cost.

Sonn, Ulla,1941Gothenburg University,Göteborgs universitet,Institutionen för samhällsmedicin, Avdelningen för geriatrik,Institutionen för arbetsterapi och fysioterapi,Institute of Community Medicine, Dept of Geriatric Medicine,Institute of Occupational Therapy and Physiotherapy,Institute of Occupational Therapy and Physiotherapy, Sahlgrenska Academy, Göteborg University, Box 455, SE-405 30 Göteborg, Sweden, Department of Geriatric Medicine, Sahlgrenska Academy, Göteborg University, Box 455, SE-405 30 Göteborg, Sweden(Swepub:gu)xsonnu (author)
Nystedt, PaulLinköpings universitet,Filosofiska fakulteten,Nationalekonomi(Swepub:liu)pauny49 (author)
Dahlin-Ivanoff, Synneve,1950Gothenburg University,Göteborgs universitet,Institutionen för arbetsterapi och fysioterapi,Institute of Occupational Therapy and Physiotherapy,Institute of Occupational Therapy and Physiotherapy, Sahlgrenska Academy, Göteborg University, Box 455, SE-405 30 Göteborg, Sweden, The Vardal Institute, Sahlgrenska Academy, Göteborg University, Box 455, SE-405 30 Göteborg, Sweden(Swepub:gu)xdahsy (author)
Göteborgs universitetInstitutionen för arbetsterapi och fysioterapi (creator_code:org_t)

In:Disability and rehabilitation: Informa UK Limited27:20, s. 1203-120963-82881464-5165

By the author/editor: Eklund, Kajsa, 1 ...; Sonn, Ulla, 1941; Nystedt, Paul; Dahlin-Ivanoff, ...

About the subject

SOCIAL SCIENCES: SOCIAL SCIENCES; and Other Social Sci ...; and Other Social Sci ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Occupational The ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Health Care Serv ...

By the university: University of Gothenburg; Jönköping University; Linköping University

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