身心障碍者社区化就业服务方案之成本效益与成本效能分析.ppt

Based on the results of sensitivity analysis, the social cost difference between MLEP and CESP groups over a five-year period can be estimated at US$1,191.86 per patient per intervention cycle. In addition, the Incremental Cost Effectiveness Ratio (ICER) in Society perspective was -20.99. * Conclusion: This research provides useful information for those who would like to improve the self-care capacity of stoma patients. Due to the better cost-effectiveness ratio of MLEP, hospital policy-makers may consider these results when choosing to allocate resources and develop care and educational interventions. * The Conceptual Analysis of Cost and Effectiveness Analysis in MLEP and CESP with Stoma patients Item/ Groups MLEP group CESP group Participant Non- Participant Society Participant Non- Participant Society Cost (Monetary) Health care cost Education spending time fee 0 ＋ ＋ 0 ＋ ＋ Enema training time fee 0 ＋ ＋ 0 ＋ ＋ Stoma bag fee ＋ ＋ ＋ ＋ ＋ ＋ Changing dressing fee 0 ＋ ＋ 0 ＋ ＋ Medical fee ＋ ＋ ＋ ＋ ＋ ＋ Filmmaking cost Copying CD-ROM fee 0 ＋ ＋ 0 0 0 Making the CD-ROM fee 0 ＋ ＋ 0 0 0 Equipment usage fee (E.g. computer) 0 ＋ ＋ 0 0 0 Family burdens Families’ salary loss due to absence for work 0 ＋/0 ＋/0 0 ＋/0 ＋/0 Traffic expenses 0 ＋/0 ＋/0 0 ＋/0 ＋/0 Effectiveness (Non- Monetary) KSC ＋ 0 ＋ ＋ 0 ＋ ASC ＋ 0 ＋ ＋ 0 ＋ BSC ＋ 0 ＋ ＋ 0 ＋ Note: +: positive value; +/0: positive value/ zero; 0: zero * Comparison of main outcome variables between MLEP and CESP Groups＊ (unit: per person) Variables MLEP (n=27) CESP (n=27) t p M SD M SD Self-care knowledge (KSC) Pretest 7.30 3.97 5.04 3.56 2.20 0.321 Posttest 20.81 1.90 14.74 1.56 12.83 0.000 Posttest- Pretest 13.52 4.07 9.70 3.51 3.69 0.001 Self-care attitude (ASC) Pretest 23.78 6.66 26.48 4.96 1.69 0.097 Posttest 50.81 3.10 41.04 2.55 12.65 0.000 Posttest- Pretest 27.04 7.14 14.56 5.96 6.97 0.000 Self-care behavior (BSC) Pretest 20.22 3.73 21.19 4.76 0.83 0.412 Posttest 47.26 0.94 40.59 4.77 7.13