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Cost-effectiveness of seven-days-per-week rehabilitation schedule for acute stroke patients
Title: | Cost-effectiveness of seven-days-per-week rehabilitation schedule for acute stroke patients |
Authors: | Morii, Yasuhiro Browse this author →KAKEN DB | Abiko, Kagari Browse this author | Osanai, Toshiya Browse this author →KAKEN DB | Takami, Jiro Browse this author | Tanikawa, Takumi Browse this author →KAKEN DB | Fujiwara, Kensuke Browse this author | Houkin, Kiyohiro Browse this author →KAKEN DB | Ogasawara, Katsuhiko Browse this author →KAKEN DB |
Keywords: | Acute stroke | Rehabilitation | Cost-effectiveness | Cost utility analysis |
Issue Date: | 1-Feb-2023 |
Publisher: | BioMed Central |
Journal Title: | Cost Effectiveness and Resource Allocation |
Volume: | 21 |
Issue: | 1 |
Start Page: | 12 |
Publisher DOI: | 10.1186/s12962-023-00421-3 |
PMID: | 36726117 |
Abstract: | BackgroundRehabilitation is an essential medical service for patients who have suffered acute stroke. Although the effectiveness of 7-days-per-week rehabilitation schedule has been studied in comparison with 5- or 6-days-per-week rehabilitation schedule, its cost-effectiveness has not been analyzed. In this research, to help formulate more cost-effective medical treatments for acute stroke patients, we analyzed the cost-effectiveness of 7-days-per-week rehabilitation for acute stroke from public health payer's perspective, and public healthcare and long-term care payer & apos;s perspective in Japan.MethodsCost-effectiveness of 7-days-per-week rehabilitation for acute stroke patients was analyzed based on the result from a previous study using a Japanese database examining the efficacy of 7-days-per-week rehabilitation. Cost utility analysis was conducted by comparing 7-days-per-week rehabilitation with 5- or 6-days-per-week rehabilitation, with its main outcome incremental cost-effectiveness ratio (ICER) calculated by dividing estimated incremental medical and long-term care costs by incremental quality-adjusted life years (QALY). The costs were estimated using the Japanese fee table and from published sources. The time horizon was 5 years, and Markov modeling was used for the analysis.ResultsThe ICER was $6339/QALY from public health payer's perspective, lower than 5,000,000 Yen/QALY (approximately US$37,913), which was the willingness-to-pay used for the cost-effectiveness evaluation in Japan. The 7-day-per-week rehabilitation was dominant from public healthcare and long-term care payer & apos;s perspective. The result of sensitivity analysis confirmed the results.ConclusionThe results indicated that 7-days-per-week rehabilitation for acute stroke rehabilitation was likely to be cost-effective. |
Type: | article |
URI: | http://hdl.handle.net/2115/88336 |
Appears in Collections: | 保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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