By a News Reporter-Staff News Editor at Nursing Home & Elder Business Week -- New research on Rehabilitation is the subject of a report. According to news reporting from Callaghan, Australia, by NewsRx journalists, research stated, “To compare the cost effectiveness of two occupational therapy-led discharge planning interventions from the HOME trial. An economic evaluation was conducted within the superiority randomized HOME trial to assess the difference in costs and health-related outcomes associated with the enhanced program and the in-hospital consultation.”
Financial support for this research came from National Health and Medical Research Council.
The news correspondents obtained a quote from the research from the University of Newcastle, “Total costs of health and community service utilization were used to calculate incremental cost-effectiveness ratios, activities of daily living and quality-adjusted life years. Medical and acute care wards of Australian hospitals (n=5). A total of 400 people {{>=}} 70 years of age. Participants were randomized to either (1) an enhanced program (HOME), involving pre/post discharge visits and two follow-up phone calls, or (2) an in-hospital consultation using the home and community environment assessment and the Lawton Instrumental Activities of Daily Living assessment. Nottingham Extended Activities of Daily Living (global measure of activities of daily living) and SF-12V2, transformed into SF-6D (quality-adjusted life year) measured at baseline and three months post discharge. The cost of the enhanced program was higher than that of the in-hospital consultation. However, a higher proportion of patients showed improvement in activities of daily living in the enhanced program with an incremental cost-effectiveness ratio of $61,906.00 per person with clinically meaningful improvement. Health services would not save money by implementing the enhanced program as a routine intervention in medical and acute care wards.”
According to the news reporters, the research concluded: “Future research should incorporate longer time horizons and consider which patient groups would benefit from home visits.”
For more information on this research see: A cost minimization analysis of occupational therapy discharge planning for older adults: the HOME randomized controlled trial. Clinical Rehabilitation , 2018;():269215518764249. Clinical Rehabilitation can be contacted at: SAGE Publications, USA , 2455 Teller Road, Thousand Oaks, CA 91320, USA. (Sage Publications - http://www.sagepub.com/; Clinical Rehabilitation - cre.sagepub.com)
Our news journalists report that additional information may be obtained by contacting K. Wales, 1 Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia. Additional authors for this research include G. Salkeld, L. Clemson, N.A. Lannin, L. Gitlin, L. Rubenstein, K. Howard, M. Howell and I.D Cameron.
The direct object identifier (DOI) for that additional information is: https://doi.org/10.1177/0269215518764249. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.
Publisher contact information for the journal Clinical Rehabilitation is: SAGE Publications, USA , 2455 Teller Road, Thousand Oaks, CA 91320, USA.
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CITATION: (2018-04-15), Study Data from University of Newcastle Provide New Insights into Rehabilitation (A cost minimization analysis of occupational therapy discharge planning for older adults: the HOME randomized controlled trial), Nursing Home & Elder Business Week, 225, ISSN: 1552-2571, BUTTER® ID: 015446160
From the newsletter Nursing Home & Elder Business Week.
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