Table 1.
Mean service costs and QALYa
| Resource item | Usual care (SE) (n = 378) | Telecare (SE) (n = 375) | Raw difference (95% CI) | Standardised difference (%) |
|---|---|---|---|---|
| Total hospital costs | 1,861 (209.8) | 2,042 (307.1) | 181 (−548.5, 909.7) | 3.5 |
| Total primary care costs | 926 (58.3) | 1,075 (96.7) | 149 (−72.2, 370.4) | 9.6 |
| Total care home respite costs | 31 (20.6) | 76 (44.6) | 46 (−50.5, 141.8) | 6.8 |
| Total community care costs | 2,850 (413.2) | 3,324 (316.5) | 474 (−548.7, 1,497) | 6.6 |
| Total mental healthcare costs | 50 (25.3) | 70 (43.7) | 20 (−78.7, 119.2) | 2.9 |
| Total day care costs | 757 (108.9) | 787 (110.4) | 30 (−274.6, 334.3) | 1.4 |
| Total adaptations costs | 30 (8.3) | 16 (3.4) | −15 (−32.3, 3.2) | −12.2 |
| Total equipment costs | 8 (1.8) | 9 (2.2) | 1 (−4.2, 6.9) | 3.5 |
| Total medication costs | 778 (30.8) | 718 (31.5) | −60 (−146.5, 26.4) | −9.8 |
| Total costs excluding telecare delivery and equipment | 7,290 (531.6) | 8,117 (558.5) | 826 (−687.1, 2,339.7) | 7.8 |
| Telecare equipment costs | 4 (1) | 82 (2.3) | 78 (73, 82.9)* | 149.4 |
| Telecare intervention costs | 35 (8.6) | 710 (15.2) | 676 (641.3, 709.9)* | 163.0 |
| Total costs including telecare delivery and equipment | 7,329 (532.2) | 8,909 (559.9) | 1,580 (63.6, 3,096)** | 14.9 |
| Less project management posts and contracts | 7,324 (532) | 8,806 (559.6) | 1,482 (2, 3,019.7) | 13.9 |
| Less dedicated responder costs | 7,324 (532) | 8,837 (560) | 1,513 (32.9, 3,051) | 14.2 |
| Sensitivity | ||||
| At 50% reduction in equipment prices | 7,298 (528.3) | 8,862 (558.4) | 1,564 (55.3, 3,072.4)* | 14.7 |
| £5 cost per week | 7,306 (531.6) | 8,450 (558) | 1,144 (−332.5, 2,679.8) | 10.8 |
| £5 cost per week + 50% reduction in equipment prices | 7,304 (531.6) | 8,408 (558) | 1,104 (−371.4, 2,640.7) | 10.4 |
| QALY | 0.333 (0.016) | 0.321(0.016) | −0.012 (−0.057, 0.034) | −3.7 |
a
Annual equivalent costs for 753 cases with baseline cost data available.
*
P < 0.01 on the t-test.
**
P < 0.05 on the t-test.