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  • 1.
    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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