Brain Damage Treated with Non Proven Intensive Training 2003-2011: A Norwegian Cost Analysis
There has been an increased request for intensive training and rehabilitation of patients with brain damage in Norway. These programs are demanding with regard to personnel, travelling, time and economic resources. We aimed to indicate cost and gain to make these programs cost-effective. A retrospec...
Published in: | Global Journal of Health Science |
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Canadian Center of Science and Education
2012
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Online Access: | https://hdl.handle.net/10037/4894 https://doi.org/10.5539/gjhs.v4n6p179 |
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ftunivtroemsoe:oai:munin.uit.no:10037/4894 2023-05-15T17:43:34+02:00 Brain Damage Treated with Non Proven Intensive Training 2003-2011: A Norwegian Cost Analysis Norum, Jan Tjeldnes, Knut Ramsvik, Arnborg 2012 https://hdl.handle.net/10037/4894 https://doi.org/10.5539/gjhs.v4n6p179 eng eng Canadian Center of Science and Education Global Journal of Health Science 4(2012) nr. 6 s. 179-184 FRIDAID 1016651 http://dx.doi.org/doi:10.5539/gjhs.v4n6p179 1916-9736 https://hdl.handle.net/10037/4894 URN:NBN:no-uit_munin_4597 openAccess VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 Journal article Tidsskriftartikkel 2012 ftunivtroemsoe https://doi.org/10.5539/gjhs.v4n6p179 2021-06-25T17:53:30Z There has been an increased request for intensive training and rehabilitation of patients with brain damage in Norway. These programs are demanding with regard to personnel, travelling, time and economic resources. We aimed to indicate cost and gain to make these programs cost-effective. A retrospective study included all patients referred to the Northern Norway Regional Health Authority (NNRHA) trust during the nine years period 2003-2011. All referrals to the NNRHA trust for the economic coverage of foreign based rehabilitation or habilitation programs (The Advanced Bio-Mechanical Rehabilitation (ABR), Institutes of Achievement of Human Potential program (IAHP) (Doman method), Family Hope Center (FHC) program and the Kozijavkin method) were included. 17 patients were detected and 15 fulfilled the inclusion criteria for funding. Median age was 8 years (1-31 years). Cost from the specialist health care point of view was calculated. A cut-off limit of €57,000/quality adjusted life year (QALY) and a 4% discount rate was employed. The undiscounted cost per patient enrolled was calculated €133,210 (discounted €121,348). To make these therapies cost effective, a total of at least 2.13 QALYs (2.34 undiscounted QALYs) must be gained per patient enrolled. Such a gain could not be indicated and we doubt it is achievable. Non-proven intensive training programs for patients with brain damage are costly. As long as their effect has not been documented, health care services should not spend resources on these programs outside clinical trials. Article in Journal/Newspaper Northern Norway University of Tromsø: Munin Open Research Archive Norway Global Journal of Health Science 4 6 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 |
spellingShingle |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 Norum, Jan Tjeldnes, Knut Ramsvik, Arnborg Brain Damage Treated with Non Proven Intensive Training 2003-2011: A Norwegian Cost Analysis |
topic_facet |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 |
description |
There has been an increased request for intensive training and rehabilitation of patients with brain damage in Norway. These programs are demanding with regard to personnel, travelling, time and economic resources. We aimed to indicate cost and gain to make these programs cost-effective. A retrospective study included all patients referred to the Northern Norway Regional Health Authority (NNRHA) trust during the nine years period 2003-2011. All referrals to the NNRHA trust for the economic coverage of foreign based rehabilitation or habilitation programs (The Advanced Bio-Mechanical Rehabilitation (ABR), Institutes of Achievement of Human Potential program (IAHP) (Doman method), Family Hope Center (FHC) program and the Kozijavkin method) were included. 17 patients were detected and 15 fulfilled the inclusion criteria for funding. Median age was 8 years (1-31 years). Cost from the specialist health care point of view was calculated. A cut-off limit of €57,000/quality adjusted life year (QALY) and a 4% discount rate was employed. The undiscounted cost per patient enrolled was calculated €133,210 (discounted €121,348). To make these therapies cost effective, a total of at least 2.13 QALYs (2.34 undiscounted QALYs) must be gained per patient enrolled. Such a gain could not be indicated and we doubt it is achievable. Non-proven intensive training programs for patients with brain damage are costly. As long as their effect has not been documented, health care services should not spend resources on these programs outside clinical trials. |
format |
Article in Journal/Newspaper |
author |
Norum, Jan Tjeldnes, Knut Ramsvik, Arnborg |
author_facet |
Norum, Jan Tjeldnes, Knut Ramsvik, Arnborg |
author_sort |
Norum, Jan |
title |
Brain Damage Treated with Non Proven Intensive Training 2003-2011: A Norwegian Cost Analysis |
title_short |
Brain Damage Treated with Non Proven Intensive Training 2003-2011: A Norwegian Cost Analysis |
title_full |
Brain Damage Treated with Non Proven Intensive Training 2003-2011: A Norwegian Cost Analysis |
title_fullStr |
Brain Damage Treated with Non Proven Intensive Training 2003-2011: A Norwegian Cost Analysis |
title_full_unstemmed |
Brain Damage Treated with Non Proven Intensive Training 2003-2011: A Norwegian Cost Analysis |
title_sort |
brain damage treated with non proven intensive training 2003-2011: a norwegian cost analysis |
publisher |
Canadian Center of Science and Education |
publishDate |
2012 |
url |
https://hdl.handle.net/10037/4894 https://doi.org/10.5539/gjhs.v4n6p179 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_relation |
Global Journal of Health Science 4(2012) nr. 6 s. 179-184 FRIDAID 1016651 http://dx.doi.org/doi:10.5539/gjhs.v4n6p179 1916-9736 https://hdl.handle.net/10037/4894 URN:NBN:no-uit_munin_4597 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.5539/gjhs.v4n6p179 |
container_title |
Global Journal of Health Science |
container_volume |
4 |
container_issue |
6 |
_version_ |
1766145684109524992 |