Table 16: Cost to Implement Program (2008 Cdn $).
| Parameter | Unit Cost ($) |
Unit | Cost in the First Year ($) |
Population | N | Total Cost in the First Year ($) |
|
|---|---|---|---|---|---|---|---|
| Caregiver-Dependent Behavioural Techniques* | |||||||
| Nurse Continence Advisor | 50.00 | per hour | 182.50 | Frail, homebound, cognitively impaired willing to participate | 50,521 | 9,220,119 | |
| Patient-Directed Behavioural Techniques | |||||||
| Nurse Continence Advisor† | 50.00 | per hour | 130.00 | Mobile, independent seniors willing to participate | 196,011 | 25,481,456 | |
| Physiotherapist‡ | 18.41 | per session | 184.10 | Mobile, independent seniors willing to participate | 196,011 | 36,085,662 | |
The intervention was administered in a home setting to 80% of patients and caregivers, and in a clinic setting to 20%. The intervention included 1 initial assessment (2 hour) + 2 follow-up sessions (1 hour each) with an NCA at home. (54) An occupational therapist might also have visited the home to scan for environmental/physical barriers; this was not factored into the analysis.
The intervention was administered in a home setting to 20% of patients and in a clinic setting to 80%. The intervention consisted of a multi-component session with an NCA doing pelvic exercises, bladder training, etc., which included 1 initial assessment (1.25 hour) plus 2 follow-up sessions (30 minutes each). (54)
The single component included PFMT exercise with a trained physiotherapist providing 10 weekly instructional sessions. (54) Some clients may require follow-up visits a few years later for a refresher and some additional motivation and coaching; this was not factored into the analysis. Assumed a 20.5% (males) and 45.1% (females) prevalence of UI in seniors 65 years and older in Ontario (740,200 males and 945,500 females). (18) Assumed 4.5% of seniors over 65 are in an LTC setting and the remainder are in the community. (56) Assumed prevalence of eligible elders to be 50% for both caregiver-dependent and patient-directed techniques. (54) Assumed a participation rate of 18.3% for caregiver-dependent techniques. (54) Assumed a participation rate of 71% for patient-directed techniques. (54) Nurse continence advisor cost from IC3 report. (54) Physiotherapist cost from fee schedule. (57)