Rapid Health Technology Assessment in Rehabilitation Hospital: Review Article

Document Type : Review Article

Authors

1 Department of Health Technology Assessment (HTA), Deputy of Curative Affairs, Ministry of Health and Medical Education, Tehran, Iran

2 PhD Candidate, Department of Health Service Management, School of Management and Economics, Islamic Azad University Science and Research Branch AND Technical Officer, Department of Health Technology Assessment (HTA), Deputy of Curative Affairs, Ministry of Health and Medical Education, Tehran, Iran

3 Assistant Professor, National Institute for Health Research AND Health Technology, Standardization and Tariff Office, Deputy of Curative Affairs, Ministry of Health and Medical Education, Tehran, Iran

Abstract

Background: Medical advances, improved health status, and increased longevity have led to increased elderly in the society; therefore, the role of rehabilitation centers in the service industry has grown considerably in the two past decades.Methods: The studies compared types of rehabilitation centers for the treatment of patients with motor or perception disability and other methods commonly used in rehabilitation, in terms of functional outcomes, Barthel index, and cost-effectiveness, were evaluated. The Cochrane, CRD (Centre for Reviews and Dissemination), Scopus, and Google scholar databases were searched until June 2012. Results were analyzed using qualitative method.Findings: According to 15 included articles, the Barthel index scores in patients with an inpatient rehabilitation (42 ± 29 points) were more than outpatient rehabilitation (26 ± 23 points) (P < 0.050). For inpatient centers, early rehabilitation led to the rapid acquisition of functional abilities than outpatient centers (1.55 vs. 0.50). Regarding to cost-effectiveness of heart diseases, the adjusted cost difference between outpatient and inpatient rehabilitation was about -2895 Euro (P = 0.102); adjusted effect difference was about 0.018 QALY (Quality-adjusted life year) in favor of outpatients rehabilitation, too.Conclusion: With regard to the potential of rehabilitation services and outpatient clinics in day clinics, the establishment of rehabilitation centers was not cost-effective. So, it is proposed to provide services to disabled patients in “rehabilitation units” established in specialized hospitals.

Keywords

References

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Journal of Isfahan Medical School
Volume 31, Issue 237 - Serial Number 237
March and April 2013
Pages 712-726

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History

  • Receive Date: 21 October 2012
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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