投资神经行为康复的临床效益与成本效益：一项多中心研究。
The clinical and cost-benefits of investing in neurobehavioural rehabilitation: a multi-centre study.
作者信息
Oddy Michael, da Silva Ramos Sara
机构信息
Brain Injury Rehabilitation Trust , Horsham, West Sussex , UK.
出版信息
Brain Inj. 2013;27(13-14):1500-7. doi: 10.3109/02699052.2013.830332. Epub 2013 Oct 2.
PRIMARY OBJECTIVE
The aim of this study was to investigate the cost-benefits of a residential post-acute neurobehavioural rehabilitation programme and its effects on care needs and social participation of adults with acquired brain injury.
RESEARCH DESIGN
Retrospective multi-centre design.
METHODS AND PROCEDURES
Data on occupation, adaptability and level of support required were collected at admission, discharge and 6-months follow-up. Cost analysis was performed on cost estimates based on level of support.
MAIN OUTCOMES AND RESULTS
Significant gains were observed in all areas of functioning, with individuals progressing towards higher levels of independence and more participation in society upon discharge.
CONCLUSIONS
Cost-benefits of up to £1.13 million were demonstrated for individuals admitted to rehabilitation within a year of sustaining a brain injury and of up to £0.86 million for those admitted more than 1 year after injury. Functional gains and reductions in levels of care required upon discharge were maintained 6 months later. These results demonstrate that post-acute neurobehavioural rehabilitation can have a positive impact on the lives of individuals with brain injury and that the associated costs are off-set by significant savings in the longer-term.
主要目标
本研究旨在调查住院急性后神经行为康复项目的成本效益及其对获得性脑损伤成年人护理需求和社会参与的影响。
研究设计
回顾性多中心设计。
方法与步骤
在入院、出院和6个月随访时收集有关职业、适应能力和所需支持水平的数据。基于支持水平对成本估算进行成本分析。
主要结果
在所有功能领域均观察到显著改善，出院时个体向更高水平的独立性和更多的社会参与度发展。
结论
对于在脑损伤后一年内入院接受康复治疗的个体，成本效益高达113万英镑；对于在受伤1年以上入院的个体，成本效益高达86万英镑。出院后6个月，功能改善和所需护理水平的降低得以维持。这些结果表明，急性后神经行为康复对脑损伤个体的生活可产生积极影响，且相关成本可在长期内通过大幅节省得到抵消。
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