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  • 1. Persson, J
    et al.
    Hellbom, Gunn
    Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Department of Health and Society.
    Balancing societal costs and users' quality of life - priority setting of interventions for the hard-of-hearing2003In: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 42, p. S9-S12Article in journal (Refereed)
    Abstract [en]

    In this paper, the need for priority setting in rehabilitation, especially in audiology, and various approaches to providing information for priority setting are discussed. A set of outcome measures is proposed, and their applicbility to vertical and horizontal prioritization are considered. Two types of measures are proposed: individual problems assessment. and utility analysis. Results from a European multicentre study and a Swedish study illustrate the performance of the measures in the areas of mobility, hearing, and speech communication. For rehabilitation in the hard-of-hearing, the two types of measures provide different kinds of information, illustrated by the results of simultaneous use of the instruments.

  • 2.
    Persson, Jan
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment.
    Bernfort, Lars
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment.
    Hellbom, Gunn
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment.
    Danermark, Berth
    Örebro Universitet.
    Borg, Erik
    Ahlséns forskningsinstitut.
    Gullbrandsson, Ann
    Karlstad sjukhus.
    Husberg, Magnus
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment.
    Cost-effectiveness in rehabilitation of hearing impaired people.2005In: Assistive Technology: From Virtuality to Reality AAATE 2005 / [ed] Alain Pruski and Harry Knops, IOS Press , 2005, p. 750-754Chapter in book (Other academic)
    Abstract [en]

    The title of this book points towards the difficulty encountered in research and development carried out by laboratories to reach the users. From Virtuality to Reality aims at alerting  developers so that they pay a particular attention to the outcome of their work. Inventive research as well as new technologies which have a very high potential in the field of assistive technology are described in this publication. Despite the fact that recent products take more and more frequently into account the specific needs of the handicapped people, there remains a long road ahead until these products become available to everyone. Assistive technology has to adapt to today’s fast technological developments. Because new technologies are developing too rapidly, there is no choice but to adapt to this ceaseless evolution. The elderly or handicapped people are facing more and more difficulties in interacting with the assistive technology experts. Technology is an essential component of the activity but it is even more important to take into account the human factor if the aim is to enable users to benefit from assistive technologies. As a consequence, developers must work with a unique objective based on a user-centered approach. This requires a multidisciplinary collaboration  which is one of the prime movers of their research and also one of the keys of success.

  • 3.
    Persson, Jan
    et al.
    Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment. Linköping University, The Institute of Technology.
    Husberg, Magnus
    Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment. Linköping University, Faculty of Health Sciences.
    Hellbom, Gunn
    Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment. Linköping University, Faculty of Health Sciences.
    Fries, Anna
    Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment. Linköping University, Faculty of Health Sciences.
    Kostnader och effekter vid förskrivning av rollatorer2007Report (Other academic)
    Abstract [en]

    The aim of this study was to investigate effectiveness and cost-effectiveness of rehabilitation by means of walkers for persons with restricted mobility (fourwheeled walkers). The walkers were of a number of different brands and models.

    The study group included 205 first time users with several different diagnoses. The study was designed as a pre/post study with follow-up three months after the delivery of the walker. The “functional diagnosis” of the user the walker models prescribed and labour time used by thew staff were reported by the prescribing staff (physiotherapists and occupational therapists). Background data and various outcomes were reported through questionnaires by the users themselves.

    The users reported a number of positive effects of the intervention:

    • less need for help on a daily basis,
    • increased possibilities to participate in "activities outside home",
    • less problems in carrying out daily activities,
    • significant improvement in generic quality of life, measured by means of the instrument EuroQol (EQ-5D).

    The average cost of the walkers amounted to SEK 1 300. In addition, there were labour costs related to examinations and the delivery of the walkers, amounting to SEK 300. The direct costs per case amounts to about SEK 1 600 on average.

    The only indirect cost where a change due to the delivery of the walker could be expected was “special transport service”. There was a slight, although nonsignificant, increase in this cost, after delivery of the walkers.

    With the estimated gain in quality of life of 0,07 (on the scale of EQ-5D, ranging from 0,0 to 1,0), we derived a cost per quality adjusted years gained (cost/QALY) of SEK 24 000. This means a very favourable balance between costs and effects, supporting high ranking in priority lists.

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