Economic evaluation of advanced practice physiotherapy models of care: a systematic review with meta-analyses

Lafrance, Simon; Demont, Anthony; Thavorn, Kednapa; Fernandes, Julio; Santaguida, Carlo; Desmeules, François

doi:10.1186/s12913-021-07221-6

BMC Health Services Research

Table 3 Health care costs, patient costs and productivity losses methodology and health care costs mean difference between advanced practice physiotherapy care and usual medical care

From: Economic evaluation of advanced practice physiotherapy models of care: a systematic review with meta-analyses

	Author, year	Follow-up	Economic perspective	Original currency	Health care costs				Patient costs				Productivity losses		Economic analyses			APP-UMC Health care system costs differences per patient (in euro)
					Salary	Diagnostic tests	Medications	Follow-up care	Travel cost	Prescription cost	Private meals	Private treatment	Work losses	Work compensation	CMA	CUA	CBA
					Salary	Diagnostic tests	Medications	Follow-up care	Travel cost	Prescription cost	Private meals	Private treatment	Work losses	Work compensation	CMA	CUA	CBA	Mean	95% CI
RCTs	Bornhöft et al., 2019	12 months	Societal	Euro 2014-17	✓	✓	✓	✓					✓	✓	✓	✓	✓	-31.9	-361.61 to 297.79
	Daker-White et al., 1999	5.6 ± 1.3 months	Health care & patient	Pound 1996-97	✓	✓	✓	✓	✓	✓	✓	✓			✓			-524.92	-754.03 to -295.76
	McClellan et al., 2013	8 weeks	Health care & patient	Pound 2007-08	✓		✓	✓	✓	✓					✓			21.37	-20.97 to 63.72
	Richardson et al., 2005	6 months	Societal	Pound 2001-02	Unclear^a				Unclear^a				Unclear^a		✓			31.81	-1.40 to 65.02
Observational studies	Belthur et al.,2003	No	Health care	Pound 2003	✓										✓^b			-12.19	NA
	Brennen et al., 2019	No	Health care	AUD 2016^c	✓										✓^b			range: -47.09 to -5.65
	Cottrell et al., 2019	No	Health care	AUD 2017	✓										✓^b			Telehealth is 13% (95% CI: 10 to 16%) less expensive than face-to-face
	Harding et al., 2018	No	Health care & patient^c	AUD 2014-15^c	✓				d						✓^b			-17.94	NA
	McGill, 2017 & McGill et al., 2021	Unclear but ≤18 months	Health care	USD 2016-17^c	✓	✓	✓	✓							✓^b			-428.08	-472.96 to -383.21
	Ó Mír et al., 2019	12 months	Health care	Euro 2017	✓			✓^e							✓^b			-25.51	-26.89 to -24.12
	Peterson et al., 2021	No	Health care & patient	Euro 2019	✓				d						✓			-34.22	NA
Modeling	Coman et al., 2014 & Standfield et al., 2016	5.2 months^f	Health care	AUD 2014	✓	✓	✓	✓								✓

Costs in euro 2020 (adjusted for inflation & converted in euro)
APP Advanced practice physiotherapy, AUD Australian dollar, CA Cost analysis, CBA Cost-benefit analysis, CEA Cost-effectiveness analysis, CI Confidence intervals, CMA Cost minimization analysis, CUA Cost-utility analysis, NA Not available, RCTs Randomized controlled trials, UMC Usual medical care, USD American dollar
^aIn the study by Richardson et al., 2005, costs include health and social costs in the acute hospital and community, personal out of pocket expenses and productivity losses to the society without providing more details
^bAPP clinical effectiveness not directly assessed in the study but demonstrated in previous studies
^cExact financial year not confirmed in the article
^dInclude patient wait time in the clinic
^eOnly include salary
^fEconomic model time horizon in Standfield et al., (2016) was 5.25 years

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ISSN: 1472-6963

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