首页   按字顺浏览 期刊浏览 卷期浏览 Reduction of Costs of Disability Using Neuroprostheses
Reduction of Costs of Disability Using Neuroprostheses

 

作者: GrahamH. Creasey,   KevinL. Kilgore,   DeniseL. Brown-Triolo,   JohnE. Dahlberg,   P.Hunter Peckham,   MichaelW. Keith,  

 

期刊: Assistive Technology  (Taylor Available online 2000)
卷期: Volume 12, issue 1  

页码: 67-75

 

ISSN:1040-0435

 

年代: 2000

 

DOI:10.1080/10400435.2000.10132010

 

出版商: Taylor & Francis Group

 

关键词: Spinal cord injury;Electric stimulation;Hand surgery;Neurogenic bladder;Health care economics;Health insurance

 

数据来源: Taylor

 

摘要:

The lifetime costs associated with spinal cord injury are substantial. Assistive technology that reduces complications, increases independence, or decreases the need for attendant services can provide economic as well as medical or functional benefit. This study describes two approaches for estimating the economic consequences of implanted neuroprostheses utilizing functional electrical stimulation. Life care plan analysis was used to estimate the costs of bladder and bowel care with and without a device restoring bladder and bowel function and to compare these with the costs of implementing the device. For a neuroprosthesis restoring hand grasp, the costs of implementation were compared to the potential savings in attendant care costs that could be achieved by the use of the device. The results indicate that the costs of implementing the bladder and bowel system would be recovered in 5 years, primarily from reduced costs of supplies, medications, and procedures. The costs of the hand grasp neuroprosthesis would be recovered over the lifetime of the user if attendant time was reduced only 2 hours per day and in a shorter time if attendant care was further reduced. Neither analysis includes valuation of the quality of life, which is further enhanced by the neuroprostheses through restoration of greater independence and dignity. Our results demonstrate that implantable neuroprosthetic systems provide good health care value in addition to improved independence for the disabled individual.

 

点击下载:  PDF (1071KB)



返 回