We report on the incremental costs associated with improvements in health-related quality of life (HRQL) following 6 months of respiratory rehabilitation compared with conventional community care.
Prospective randomized controlled trial of rehabilitation.
A respiratory rehabilitation unit.
Eighty-four subjects who completed the rehabilitation trial. intervention : Two months of inpatient rehabilitation followed by 4 months of outpatient supervision.
All costs (hospitalization, medical care, medications, home care, assistive devices, transportation) were included.
Simultaneous allocation was used to determine capital and direct and indirect hospitalization costs.
The incremental cost of achieving improvements beyond the minimal clinically important difference in dyspnea, emotional function, and mastery was $11,597 (Canadian).
More than 90% of this cost was attributable to the inpatient phase of the program.
Of the nonphysician health-care professionals, nursing was identified as the largest cost center, followed by physical therapy and occupational therapy.
The number of subjects needed to be treated (NNT) to improve one subject was 4.1 for dyspnea, 4.4 for fatigue, 3.3 for emotion, and 2.5 for mastery. (...)
Mots-clés Pascal : Bronchopneumopathie obstructive, Réadaptation physique, Traitement, Qualité vie, Analyse coût efficacité, Economie santé, Homme, Appareil respiratoire pathologie, Poumon pathologie, Bronche pathologie
Mots-clés Pascal anglais : Obstructive pulmonary disease, Physical rehabilitation, Treatment, Quality of life, Cost efficiency analysis, Health economy, Human, Respiratory disease, Lung disease, Bronchus disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0438529
Code Inist : 002B26D. Création : 19/12/1997.