Stroke creates a substantial economic burden on the patients and society. With more emphasis being placed on community-based services, it has been advocated that more importance should be placed on early supported discharge for stroke patients. Studies have shown that early supported discharge is as effective as conventional care. However, very few of these studies have associated costs. / The purpose of this study was to estimate the cost effectiveness of prompt discharge with home rehabilitation compared with usual post acute care for stroke patients. / A cost effectiveness analysis was performed on data originating from a prior randomized controlled trial designed to evaluate the effectiveness of prompt discharge combined with home rehabilitation. / Information on health care utilization and the associated costs were obtained from the Quebec Health Insurance Board and determined for the first three months following discharge. Scores from the Short Form 36 health survey were used as the measure for effectiveness. / Results demonstrated that early supported discharge with home rehabilitation is a cost effective alternative to conventional hospital discharge procedures.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.30833 |
| Date | January 2000 |
| Creators | Teng, Josephine, 1973- |
| Contributors | Mayo, Nancy (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (Department of Epidemiology and Biostatistics.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001803472, proquestno: MQ70513, Theses scanned by UMI/ProQuest. |
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