Table 4.
Incremental costs of implementing exercise programme
| Cost item | Resource use | Unit cost ($NZ) | Total cost ($NZ) |
|---|---|---|---|
| Training course* | |||
| Physiotherapist (hours) | 37.5 | 19.17 | 539 |
| Three exercise nurses | |||
| Time (hours) | 37.5 each | 16.46 per hour | 1852 |
| Travel to Dunedin (km) | 2220 | 0.62 | 1110 |
| Accommodation (nights)† | 5 | 110 | 650 |
| Materials | Folders | 28.21 | 85 |
| Transport in Dunedin | Visits to 15 clients | 0.62 per km | 84 |
| Recruitment, programme prescription and follow up | |||
| Time for 3 nurses | 0.5 equivalent full time, 1 nurse 18 months, 2 nurses 19 months | Average 16.58 per hour | 67 963 |
| Transport for 3 nurses (km) | 4609 | 0.62 | 2858 |
| Doctors' time‡ | 46 doctors, 0.25 hours each | 40.39 | 1858 |
| General practice staff time | 26 practices, 0.75 hours each | 13.11 | 341 |
| Typing lists and letters (hours) | 78 | 18.88 | 1473 |
| Postage (stamps) | 768 | 0.40 | 307 |
| Stationery and photocopying | Paper, envelopes | 0.10 | 373 |
| Telephone | Local calls, 1 “call minder,” 2 mobiles | 2676 | |
| Ankle cuff weights | 480 | Average 17.40 | 8352 |
| Instruction booklets | 330 folders, paper | 7.50 | 2475 |
| Supervision of programme | |||
| Physiotherapist: | |||
| Time (hours) | 703 | 19.17 | 13 484 |
| Travel to centres (km) | 2808 | 0.62 | 1741 |
| Accommodation† | 4 visits to each centre | Average 102.50 | 410 |
| Telephone calls | 108 | Average 6.77 | 731 |
| Three exercise nurses: | |||
| Time | 4 meetings, telephone calls | Average 16.58 per hour | 1607 |
| Telephone calls | 82 | Average 7.11 | 583 |
| Travel to Dunedin (km) | 2586 | 0.62 | 1603 |
| Overhead costs§ | 21.85% of resource use | 24 724 | |
| Total cost | 137 878 | ||
| Average cost per participant for 1 year programme | 418 | ||
Average exchange rate in 1998, $NZ1.00=32p.
Costs for training course were divided equally among the four nurses at course (one nurse was from trial reported in accompanying paper).
Includes food allowance.
Time spent by doctors was valued using weighted average price in 1998 for consultation “person over 65 without card”; item used in calculation of consumers price index.
Includes office accommodation, financial and administration services, depreciation on equipment.