Evidence of improving cost-effectiveness of pediatric cochlear implantation
Evidence of improving cost-effectiveness of pediatric cochlear implantation
Objectives: to examine the cost-effectiveness of pediatric cochlear implantation over time.
Methods: a prospective study based on ninety-eight children implanted between 1989 and 1996 at Nottingham's Paediatric Cochlear Implantation Programme, UK. The influence of outcomes and other variables on total costs was examined using multivariate regression analysis.
Results: having controlled for potential confounding variables, total cost was negatively related to year of implant and positively related to the number of hours of rehabilitation (p=.000).
Conclusions: having controlled for outcomes (Categories of Auditory Performance and Speech Intelligibility Rating), the cost-effectiveness improved over time. This finding may be due to a learning curve and have policy implications.
child, preschool, cochlear implantation/economics, cost-benefit analysis/trends, female, health care costs, humans, infant, male, multivariate analysis, pediatrics/economics, program evaluation, prospective studies, regression analysis, technology assessment, biomedical/economics, treatment outcome, United Kingdom
421-31
Sach, T.
5c09256f-ebed-4d14-853a-181f6c92d6f2
O'Neill, C.
3de0c221-6578-4a1a-96bd-2a3fba2b6193
Whynes, D.K.
0f347f72-ed96-449b-8a76-40bc42dc283e
Archbold, S.M.
ef7e272b-ecbc-4479-94c4-668b080aab27
O'Donoghue, G.M.
27cc87db-d439-4191-ba2d-166e5e1b360b
Sach, T.
5c09256f-ebed-4d14-853a-181f6c92d6f2
O'Neill, C.
3de0c221-6578-4a1a-96bd-2a3fba2b6193
Whynes, D.K.
0f347f72-ed96-449b-8a76-40bc42dc283e
Archbold, S.M.
ef7e272b-ecbc-4479-94c4-668b080aab27
O'Donoghue, G.M.
27cc87db-d439-4191-ba2d-166e5e1b360b
Sach, T., O'Neill, C., Whynes, D.K., Archbold, S.M. and O'Donoghue, G.M.
(2003)
Evidence of improving cost-effectiveness of pediatric cochlear implantation.
International Journal of Technology Assessment in Health Care, 19 (2), .
(doi:10.1017/s0266462303000370).
Abstract
Objectives: to examine the cost-effectiveness of pediatric cochlear implantation over time.
Methods: a prospective study based on ninety-eight children implanted between 1989 and 1996 at Nottingham's Paediatric Cochlear Implantation Programme, UK. The influence of outcomes and other variables on total costs was examined using multivariate regression analysis.
Results: having controlled for potential confounding variables, total cost was negatively related to year of implant and positively related to the number of hours of rehabilitation (p=.000).
Conclusions: having controlled for outcomes (Categories of Auditory Performance and Speech Intelligibility Rating), the cost-effectiveness improved over time. This finding may be due to a learning curve and have policy implications.
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e-pub ahead of print date: 18 June 2003
Keywords:
child, preschool, cochlear implantation/economics, cost-benefit analysis/trends, female, health care costs, humans, infant, male, multivariate analysis, pediatrics/economics, program evaluation, prospective studies, regression analysis, technology assessment, biomedical/economics, treatment outcome, United Kingdom
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Local EPrints ID: 478186
URI: http://eprints.soton.ac.uk/id/eprint/478186
ISSN: 0266-4623
PURE UUID: 661463d0-82c2-4862-a538-2e72d1bda48d
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Date deposited: 23 Jun 2023 17:01
Last modified: 17 Mar 2024 04:19
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Contributors
Author:
T. Sach
Author:
C. O'Neill
Author:
D.K. Whynes
Author:
S.M. Archbold
Author:
G.M. O'Donoghue
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