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A cost-effectiveness analysis of a health education programme for elderly persons with age-related macular degeneration: A longitudinal study
Institute of Occupational Therapy and Physiotherapy, Sahlgrenska Academy, Göteborg University, Box 455, SE-405 30 Göteborg, Sweden.
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.
Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Management and Engineering, Economics .
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.
2005 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 27, no 20, 1203-1212 p.Article in journal (Refereed) Published
Abstract [en]

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. © 2005 Taylor & Francis.

Place, publisher, year, edition, pages
2005. Vol. 27, no 20, 1203-1212 p.
Keyword [en]
Evaluation, Health promotion, Occupational therapy
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:liu:diva-50330DOI: 10.1080/09638280500052716OAI: oai:DiVA.org:liu-50330DiVA: diva2:271226
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12

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Nystedt, Paul

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