The University of Southampton
University of Southampton Institutional Repository

Cost-effectiveness of telecare for people with social care needs: the whole systems demonstrator cluster randomised trial

Cost-effectiveness of telecare for people with social care needs: the whole systems demonstrator cluster randomised trial
Cost-effectiveness of telecare for people with social care needs: the whole systems demonstrator cluster randomised trial
Purpose of the study: to examine the costs and cost-effectiveness of ‘second-generation’ telecare, in addition to standard support and care that could include ‘first-generation’ forms of telecare, compared with standard support and care that could include ‘first-generation’ forms of telecare.

Design and methods: a pragmatic cluster-randomised controlled trial with nested economic evaluation. A total of 2,600 people with social care needs participated in a trial of community-based telecare in three English local authority areas. In the Whole Systems Demonstrator Telecare Questionnaire Study, 550 participants were randomised to intervention and 639 to control. Participants who were offered the telecare intervention received a package of equipment and monitoring services for 12 months, additional to their standard health and social care services. The control group received usual health and social care.

Primary outcome measure: incremental cost per quality-adjusted life year (QALY) gained. The analyses took a health and social care perspective.

Results: cost per additional QALY was £297,000. Cost-effectiveness acceptability curves indicated that the probability of cost-effectiveness at a willingness-to-pay of £30,000 per QALY gained was only 16%. Sensitivity analyses combining variations in equipment price and support cost parameters yielded a cost-effectiveness ratio of £161,000 per QALY.

Implications: while QALY gain in the intervention group was similar to that for controls, social and health services costs were higher. Second-generation telecare did not appear to be a cost-effective addition to usual care, assuming a commonly accepted willingness to pay for QALYs.

Trial registration number: ISRCTN 43002091.
telecare, economic evaluation, social care, older people
0002-0729
794-800
Henderson, C.
bcb3af44-03fe-4b4e-a254-4fd82a059611
Knapp, M.
119a8b09-6c30-4210-8ad1-801a6aade5b7
Fernandez, J.-L.
7dfada4c-c61d-4429-a72a-0a878dbccf6a
Beecham, J.
ebffa14d-5423-4711-a31f-a035c9a616ae
Hirani, S.P.
9cb36ccf-34e3-478f-bbae-81a4db554a2d
Beynon, M.
a1aa9e0a-dee9-4a8a-ba61-f96106e72904
Cartwright, M.
d24478a7-02bd-4a1a-884d-c499d87f80bf
Rixon, L.
e0dccfd9-f25b-4599-9f9c-f42d45ec1719
Doll, H.
2582a26a-2a35-4d3c-b595-85b59f7f3c86
Bower, P.
a1242859-1e67-4fb3-85a7-35ebffc4ada7
Steventon, A.
f6f127d3-b0e5-4c6c-aa72-80ca492596cd
Rogers, A.
105eeebc-1899-4850-950e-385a51738eb7
Fitzpatrick, R.
5e4b3d19-b38b-46d9-ab64-75df1cbef35e
Barlow, J.
a79fb2a6-04e7-400e-a67e-8625743bef60
Bardsley, M.
72d0d7d5-ad34-428c-ae3e-318f601615f6
Newman, S.P.
65eb4daa-4589-444a-b1fe-0019087cbdc0
Henderson, C.
bcb3af44-03fe-4b4e-a254-4fd82a059611
Knapp, M.
119a8b09-6c30-4210-8ad1-801a6aade5b7
Fernandez, J.-L.
7dfada4c-c61d-4429-a72a-0a878dbccf6a
Beecham, J.
ebffa14d-5423-4711-a31f-a035c9a616ae
Hirani, S.P.
9cb36ccf-34e3-478f-bbae-81a4db554a2d
Beynon, M.
a1aa9e0a-dee9-4a8a-ba61-f96106e72904
Cartwright, M.
d24478a7-02bd-4a1a-884d-c499d87f80bf
Rixon, L.
e0dccfd9-f25b-4599-9f9c-f42d45ec1719
Doll, H.
2582a26a-2a35-4d3c-b595-85b59f7f3c86
Bower, P.
a1242859-1e67-4fb3-85a7-35ebffc4ada7
Steventon, A.
f6f127d3-b0e5-4c6c-aa72-80ca492596cd
Rogers, A.
105eeebc-1899-4850-950e-385a51738eb7
Fitzpatrick, R.
5e4b3d19-b38b-46d9-ab64-75df1cbef35e
Barlow, J.
a79fb2a6-04e7-400e-a67e-8625743bef60
Bardsley, M.
72d0d7d5-ad34-428c-ae3e-318f601615f6
Newman, S.P.
65eb4daa-4589-444a-b1fe-0019087cbdc0

Henderson, C., Knapp, M., Fernandez, J.-L., Beecham, J., Hirani, S.P., Beynon, M., Cartwright, M., Rixon, L., Doll, H., Bower, P., Steventon, A., Rogers, A., Fitzpatrick, R., Barlow, J., Bardsley, M. and Newman, S.P. (2014) Cost-effectiveness of telecare for people with social care needs: the whole systems demonstrator cluster randomised trial. Age and Ageing, 43 (6), 794-800. (doi:10.1093/ageing/afu067). (PMID:24950690)

Record type: Article

Abstract

Purpose of the study: to examine the costs and cost-effectiveness of ‘second-generation’ telecare, in addition to standard support and care that could include ‘first-generation’ forms of telecare, compared with standard support and care that could include ‘first-generation’ forms of telecare.

Design and methods: a pragmatic cluster-randomised controlled trial with nested economic evaluation. A total of 2,600 people with social care needs participated in a trial of community-based telecare in three English local authority areas. In the Whole Systems Demonstrator Telecare Questionnaire Study, 550 participants were randomised to intervention and 639 to control. Participants who were offered the telecare intervention received a package of equipment and monitoring services for 12 months, additional to their standard health and social care services. The control group received usual health and social care.

Primary outcome measure: incremental cost per quality-adjusted life year (QALY) gained. The analyses took a health and social care perspective.

Results: cost per additional QALY was £297,000. Cost-effectiveness acceptability curves indicated that the probability of cost-effectiveness at a willingness-to-pay of £30,000 per QALY gained was only 16%. Sensitivity analyses combining variations in equipment price and support cost parameters yielded a cost-effectiveness ratio of £161,000 per QALY.

Implications: while QALY gain in the intervention group was similar to that for controls, social and health services costs were higher. Second-generation telecare did not appear to be a cost-effective addition to usual care, assuming a commonly accepted willingness to pay for QALYs.

Trial registration number: ISRCTN 43002091.

Text
Cost-effectiveness of telecare for people with social care needs, the Whole Systems Demonstrator.pdf - Version of Record
Download (138kB)

More information

Accepted/In Press date: 12 March 2014
e-pub ahead of print date: 20 June 2014
Published date: November 2014
Keywords: telecare, economic evaluation, social care, older people
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 386043
URI: http://eprints.soton.ac.uk/id/eprint/386043
ISSN: 0002-0729
PURE UUID: cbeb85d2-b70c-45af-bdbb-d55836a5f225

Catalogue record

Date deposited: 27 Jan 2016 15:04
Last modified: 14 Mar 2024 22:26

Export record

Altmetrics

Contributors

Author: C. Henderson
Author: M. Knapp
Author: J.-L. Fernandez
Author: J. Beecham
Author: S.P. Hirani
Author: M. Beynon
Author: M. Cartwright
Author: L. Rixon
Author: H. Doll
Author: P. Bower
Author: A. Steventon
Author: A. Rogers
Author: R. Fitzpatrick
Author: J. Barlow
Author: M. Bardsley
Author: S.P. Newman

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×