Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cost-effectiveness of integrated stroke services.

N J A van Exel1, M A Koopmanschap, W Scholte op Reimer

  • 1Institute for Medical Technology Assessment (iMTA), Erasmus MC, Rotterdam, The Netherlands. n.vanexel@erasmusmc.nl

QJM : Monthly Journal of the Association of Physicians
|May 10, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A scoping review of influencing factors associated with loneliness in nursing home settings.

Aging & mental health·2025
Same author

Viewpoints of local decision-makers on what matters in the allocation of scarce social care resources in the Netherlands.

Social science & medicine (1982)·2025
Same author

Societal views in the Netherlands on active disinvestment of publicly funded healthcare interventions.

Social science & medicine (1982)·2021
Same author

Discontinuation of the PACE Plus trial: problems in patient recruitment in general practice.

BMC musculoskeletal disorders·2018
Same author

Looking back and moving forward: On the application of proportional shortfall in healthcare priority setting in the Netherlands.

Health policy (Amsterdam, Netherlands)·2018
Same author

The frail older person does not exist: development of frailty profiles with latent class analysis.

BMC geriatrics·2018

Integrated stroke care services can improve patient outcomes and be cost-effective. A simple, complete stroke service in Delft demonstrated better health outcomes and reduced costs compared to conventional care.

Area of Science:

  • Health Services Research
  • Clinical Economics
  • Neurology

Background:

  • Integrating services for acute stroke care shows potential for organizational improvements and better patient outcomes.
  • Previous randomized trials suggest efficiency gains in acute stroke management.

Purpose of the Study:

  • To compare the costs and health effects of integrated stroke services versus conventional care.
  • Evaluate the economic and clinical impact of different stroke service models.

Main Methods:

  • Prospective non-randomized controlled trial comparing 411 patients in three experimental stroke units with 187 patients receiving conventional care.
  • Follow-up over 6 months, measuring total costs per patient and health-adjusted days using EuroQol-5D scores.

Related Experiment Videos

Main Results:

  • Mean total costs per patient were €16,000. The Delft service cost €13,160, with early discharge saving €2500 in hospital costs.
  • Patients in Delft showed significantly better general health outcomes compared to control regions; Haarlem and Nijmegen showed no significant difference.

Conclusions:

  • Integrated stroke care services offer a cost-effective approach to improving stroke outcomes in Dutch settings.
  • A simple, complete stroke service model (Delft) was more effective than complex models in Haarlem and Nijmegen.
  • Reducing hospital days and ensuring multidisciplinary rehabilitation are key factors for successful stroke service integration.