Cost analysis of home telerehabilitation for speech treatment in people with Parkinson's disease.
J Telemed Telecare
; 28(7): 524-529, 2022 Aug.
Article
em En
| MEDLINE
| ID: mdl-32847466
ABSTRACT
INTRODUCTION:
Geographical barriers and impaired physical mobility among people with Parkinson's disease (PD) hinder their timely access to speech pathology services. We compared the costs of delivering a speech treatment via in-person consultation versus telerehabilitation.METHODS:
We used data from a non-inferiority randomised controlled trial delivering the Lee Silverman Voice Treatment (LSVT LOUD®), where patients with dysarthria associated with PD were assigned to either the urban in-person group (N = 16) or the urban online group (N = 15), supplemented with a non-randomised group (regional online; N = 21). We compared costs over a one-month treatment period from a health-system perspective and a patient perspective.RESULTS:
The mean treatment costs of both urban online ($1076) and regional ($1206) treatments tended to be slightly higher than urban in-person ($1020) from a health-system perspective. From a patient perspective, the mean treatment cost was $831 in the urban in-person group, $247 in the urban online group and $200 in the regional group.DISCUSSION:
LSVT LOUD® may be delivered via telerehabilitation at a slightly higher cost than in-person delivery from a health-system perspective, but it is cost saving from a patient perspective. Telerehabilitation is an economically beneficial alternative for the delivery of the LSVT LOUD® programme in PD patients with speech disorders.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Doença de Parkinson
/
Telerreabilitação
Tipo de estudo:
Clinical_trials
/
Health_economic_evaluation
Limite:
Humans
Idioma:
En
Revista:
J Telemed Telecare
Ano de publicação:
2022
Tipo de documento:
Article