Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2005 May;34(3):274-80.
doi: 10.1093/ageing/afi058. Epub 2005 Mar 11.

Economic analysis of an early discharge rehabilitation service for older people

P Miller  1 , J R F Gladman, A L Cunliffe, S L Husbands, M E Dewey, R H Harwood
Affiliations
Clinical Trial

Economic analysis of an early discharge rehabilitation service for older people

P Miller et al. Age Ageing. 2005 May.

Abstract

Objective: to measure the cost-effectiveness of an early discharge and rehabilitation service (EDRS) in Nottingham, UK.

Design: data were collected during a randomised controlled trial.

Methods: cost and cost-effectiveness analyses were conducted from the perspective of service providers (health and social services) over a period of 12 months. Resource variables included were the EDRS intervention, the initial acute hospital admission (from randomisation), readmission to hospital, hospital outpatient visits, stays in nursing and residential homes, general practitioner contact, community health services and social services. The effectiveness measure was the EuroQol EQ-5D score, from which quality-adjusted life years (QALY) were calculated. Cost-effectiveness was calculated as cost per QALY gained.

Results: at 12 months the mean untransformed total cost for the EDRS was 8,361 pound sterling compared to 10,088 pound sterling for usual care, a saving of 1,727 pound sterling (P = 0.05). Cost-effectiveness acceptability curves showed a high probability that the EDRS was cost effective across a range of monetary values for a QALY.

Conclusions: the Nottingham EDRS was likely to be more cost effective than usual care.

PubMed Disclaimer

Publication types