Table 4.
Per patient cost analysis for standard care pathway versus TGC
| Standard in-person genetic counselling | Telephone genetic counselling | Incremental cost | ||||
|---|---|---|---|---|---|---|
| Eventa | Unit cost (AUD$)b | Time per patient (h) | Cost per patient | Time per patient (h) | Cost per patient | Difference |
| Intake phone call | 45.81 | 0.25 | 11.45 | – | – | −11.45 |
| Pre–test counselling | 45.81 | 0.92 | 42.15 | 0.25 | 11.45 | −30.70 |
| Appointment letters | ||||||
| Preparation | 35.32 | 0.25 | 8.83 | – | – | −8.83 |
| Postage | 3.00 | – | 6.00 | – | – | −6.00 |
| Blood collection | ||||||
| Express post | 14.50 | – | – | – | 14.50 | +14.50 |
| Shipping box | 12.80 | – | – | – | 12.80 | +12.80 |
| Preparation | 35.32 | – | – | 0.15 | 5.30 | +5.30 |
| Courier | 31.90 | – | – | – | 31.90 | +31.90 |
| Post–test counselling | 45.81 | 0.67 | 30.69 | 0.25 | 11.45 | –19.24 |
| Additional clinical contact | 45.81 | 0.18 | 8.25 | 0.09 | 4.12 | −4.13 |
| Total | 2.27 | 107.37 | 0.74 | 91.52 | −15.85 | |
aCosts for appointment letters and blood kit preparation are based on the hourly salary for an administrative assistant. Genetic counselling and additional clinical contact is based on the hourly ward for a genetic counsellor
bAll unit costs are in 2017 Australian Dollars (AUD$)