Estimating the costs and benefits of stroke rehabilitation in South Africa

Quinette Louw, Asterie Twizeyemariya, Karen Grimmer, Dominique Leibbrandt

Research output: Contribution to journalArticle

Abstract

Objective: This paper explores the economic value of rehabilitation to South Africa, using a costed example of cerebrovascular accident (CVA) (stroke) rehabilitation. Design: We report an economic modelling approach using a worked cost-effectiveness to validate the argument for the cost-saving benefits of stroke rehabilitation. Setting: South African health care, employing analysis of available secondary data from South African research and government reports. Participants: In line with international trends in stroke epidemiology, we focused on people who were employed prior to having their stroke, with return-to-work as the desired rehabilitation outcome. Interventions: Not applicable. Main outcome measure(s): We used information on stroke rehabilitation and secondary data derived from grey and published literature, to determine if early stroke rehabilitation represents value for money from the government perspective. For our worked example, we used return-to-work rates, intervention costs, and the cost of rehabilitation services to estimate cost-savings as a result of an individualized workplace intervention. Results: The cost of delivering the individualized intervention was estimated at R5633/patient. Combining survivor rates, return-to-work rate, and costs of the programme, a work intervention programme could result in a net saving of R133.1 million over 5 years (or about R26.6 per year (discount 3%). Conclusion: The value of rehabilitation should not be considered in terms of cost-effectiveness alone, but also as an investment for the country. A staged, prioritized approach should be considered in future South African national health budget.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalJournal of Evaluation in Clinical Practice
DOIs
Publication statusE-pub ahead of print - 10 Sep 2019

Fingerprint

South Africa
Cost-Benefit Analysis
Return to Work
Costs and Cost Analysis
Stroke
Rehabilitation
Economics
Cost Savings
Budgets
Workplace
Survivors
Epidemiology
Outcome Assessment (Health Care)
Stroke Rehabilitation
Delivery of Health Care
Health

Cite this

Louw, Quinette ; Twizeyemariya, Asterie ; Grimmer, Karen ; Leibbrandt, Dominique. / Estimating the costs and benefits of stroke rehabilitation in South Africa. In: Journal of Evaluation in Clinical Practice. 2019 ; pp. 1-7.
@article{58b738fbcb7b43e6a282b9ff9dd37eab,
title = "Estimating the costs and benefits of stroke rehabilitation in South Africa",
abstract = "Objective: This paper explores the economic value of rehabilitation to South Africa, using a costed example of cerebrovascular accident (CVA) (stroke) rehabilitation. Design: We report an economic modelling approach using a worked cost-effectiveness to validate the argument for the cost-saving benefits of stroke rehabilitation. Setting: South African health care, employing analysis of available secondary data from South African research and government reports. Participants: In line with international trends in stroke epidemiology, we focused on people who were employed prior to having their stroke, with return-to-work as the desired rehabilitation outcome. Interventions: Not applicable. Main outcome measure(s): We used information on stroke rehabilitation and secondary data derived from grey and published literature, to determine if early stroke rehabilitation represents value for money from the government perspective. For our worked example, we used return-to-work rates, intervention costs, and the cost of rehabilitation services to estimate cost-savings as a result of an individualized workplace intervention. Results: The cost of delivering the individualized intervention was estimated at R5633/patient. Combining survivor rates, return-to-work rate, and costs of the programme, a work intervention programme could result in a net saving of R133.1 million over 5 years (or about R26.6 per year (discount 3{\%}). Conclusion: The value of rehabilitation should not be considered in terms of cost-effectiveness alone, but also as an investment for the country. A staged, prioritized approach should be considered in future South African national health budget.",
keywords = "cost-effectiveness, return-to-work, stroke rehabilitation",
author = "Quinette Louw and Asterie Twizeyemariya and Karen Grimmer and Dominique Leibbrandt",
year = "2019",
month = "9",
day = "10",
doi = "10.1111/jep.13287",
language = "English",
pages = "1--7",
journal = "Journal of Evaluation in Clinical Practice",
issn = "1356-1294",
publisher = "Wiley-Blackwell",

}

Estimating the costs and benefits of stroke rehabilitation in South Africa. / Louw, Quinette; Twizeyemariya, Asterie; Grimmer, Karen; Leibbrandt, Dominique.

In: Journal of Evaluation in Clinical Practice, 10.09.2019, p. 1-7.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Estimating the costs and benefits of stroke rehabilitation in South Africa

AU - Louw, Quinette

AU - Twizeyemariya, Asterie

AU - Grimmer, Karen

AU - Leibbrandt, Dominique

PY - 2019/9/10

Y1 - 2019/9/10

N2 - Objective: This paper explores the economic value of rehabilitation to South Africa, using a costed example of cerebrovascular accident (CVA) (stroke) rehabilitation. Design: We report an economic modelling approach using a worked cost-effectiveness to validate the argument for the cost-saving benefits of stroke rehabilitation. Setting: South African health care, employing analysis of available secondary data from South African research and government reports. Participants: In line with international trends in stroke epidemiology, we focused on people who were employed prior to having their stroke, with return-to-work as the desired rehabilitation outcome. Interventions: Not applicable. Main outcome measure(s): We used information on stroke rehabilitation and secondary data derived from grey and published literature, to determine if early stroke rehabilitation represents value for money from the government perspective. For our worked example, we used return-to-work rates, intervention costs, and the cost of rehabilitation services to estimate cost-savings as a result of an individualized workplace intervention. Results: The cost of delivering the individualized intervention was estimated at R5633/patient. Combining survivor rates, return-to-work rate, and costs of the programme, a work intervention programme could result in a net saving of R133.1 million over 5 years (or about R26.6 per year (discount 3%). Conclusion: The value of rehabilitation should not be considered in terms of cost-effectiveness alone, but also as an investment for the country. A staged, prioritized approach should be considered in future South African national health budget.

AB - Objective: This paper explores the economic value of rehabilitation to South Africa, using a costed example of cerebrovascular accident (CVA) (stroke) rehabilitation. Design: We report an economic modelling approach using a worked cost-effectiveness to validate the argument for the cost-saving benefits of stroke rehabilitation. Setting: South African health care, employing analysis of available secondary data from South African research and government reports. Participants: In line with international trends in stroke epidemiology, we focused on people who were employed prior to having their stroke, with return-to-work as the desired rehabilitation outcome. Interventions: Not applicable. Main outcome measure(s): We used information on stroke rehabilitation and secondary data derived from grey and published literature, to determine if early stroke rehabilitation represents value for money from the government perspective. For our worked example, we used return-to-work rates, intervention costs, and the cost of rehabilitation services to estimate cost-savings as a result of an individualized workplace intervention. Results: The cost of delivering the individualized intervention was estimated at R5633/patient. Combining survivor rates, return-to-work rate, and costs of the programme, a work intervention programme could result in a net saving of R133.1 million over 5 years (or about R26.6 per year (discount 3%). Conclusion: The value of rehabilitation should not be considered in terms of cost-effectiveness alone, but also as an investment for the country. A staged, prioritized approach should be considered in future South African national health budget.

KW - cost-effectiveness

KW - return-to-work

KW - stroke rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=85072183806&partnerID=8YFLogxK

U2 - 10.1111/jep.13287

DO - 10.1111/jep.13287

M3 - Article

SP - 1

EP - 7

JO - Journal of Evaluation in Clinical Practice

JF - Journal of Evaluation in Clinical Practice

SN - 1356-1294

ER -