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EVIDENCE OF IMPROVING COST-EFFECTIVENESS OF PEDIATRIC COCHLEAR IMPLANTATION

Published online by Cambridge University Press:  18 June 2003

T. Sach ,
C. O'Neill ,
D.K. Whynes ,
S.M. Archbold  and
G.M. O'Donoghue
T. Sach
Affiliation:
University of Nottingham
C. O'Neill
Affiliation:
RAND Corporation
D.K. Whynes
Affiliation:
University of Nottingham
S.M. Archbold
Affiliation:
Nottingham Paediatric Cochlear Implant Programme
G.M. O'Donoghue
Affiliation:
Queens Medical Centre
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Abstract

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.

Keywords

Cochlear implantsCost-effectivenessLearning curveDisseminationQuality assurance
Type
GENERAL ESSAYS
Information
International Journal of Technology Assessment in Health Care , Volume 19 , Issue 2 , April 2003 , pp. 421 - 431
Copyright
© 2003 Cambridge University Press

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