Evidence of improving cost-effectiveness of pediatric cochlear implantation.

Autor: Sach, T, O'Neill, C, Whynes, D K, Archbold, S M, O'Donoghue, G M
Zdroj: International Journal of Technology Assessment in Health Care; Apr2003, Vol. 19 Issue 2, p421-431, 11p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index