Degree
Master of Science
Program
Epidemiology and Biostatistics
Supervisor
Dr. Mark Speechley
2nd Supervisor
Dr. Robert Teasell
Joint Supervisor
Abstract
Stroke is often a severe and debilitating event that requires ongoing rehabilitation. The Community Stroke Rehabilitation Teams (CSRT) offer home-based stroke rehabilitation to individuals for whom further therapy is unavailable or inaccessible. The objective of this study was to evaluate the cost-effectiveness of the CSRT program compared with a ‘No Therapy’ cohort. Data was collected on CSRT clients from January 2012 to February 2013. Comparator data were derived from a study of stroke survivors with limited access to rehabilitation. Literature derived values were used to inform a long-term projection. Using Markov modelling, we projected the model for 35 years. One-way, two-way, and Probabilistic Sensitivity Analyses were performed. Results demonstrate that the CSRT has a Net Monetary Benefit of $43,115 over No Therapy, and is both less costly and more effective. The CSRT model of care should be considered when evaluating potential stroke rehabilitation delivery methods.
Recommended Citation
Allen, Laura J., "A Cost-Effectiveness Study of Home-Based Stroke Rehabilitation" (2015). Electronic Thesis and Dissertation Repository. 2900.
https://ir.lib.uwo.ca/etd/2900
