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Reuse and refurbish: a cost savings delivery model for specialized seating.

https://arctichealth.org/en/permalink/ahliterature126230
Source
Arch Phys Med Rehabil. 2012 Jul;93(7):1286-8
Publication Type
Article
Date
Jul-2012
Author
Rodney S Li Pi Shan
Wendy M Chrusch
Angelo G Linassi
Rajini Sankaran
Jeanine Munchinsky
Author Affiliation
Division of Physical Medicine and Rehabilitation, University of Calgary, Alberta, Canada. Rodney.lipishan@albertahealthservices.ca
Source
Arch Phys Med Rehabil. 2012 Jul;93(7):1286-8
Date
Jul-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Alberta
Child
Child, Preschool
Cost Savings
Cost-Benefit Analysis
Disability Evaluation
Disabled Children
Equipment Reuse - economics
Female
Humans
Infant
Longitudinal Studies
Male
Models, Economic
Retrospective Studies
Self-Help Devices - economics
Wheelchairs - economics
Abstract
To describe a unique specialized seating delivery model for children with disabilities that focuses on cost containment and environmental preservation. To determine whether this delivery model achieves cost containment.
A retrospective cost analysis using data from billing records and annual statistical reports of the specialized seating program, for the 2004 to 2009 billing period.
The specialized seating program is a service provided on a referral basis by the Saskatchewan Abilities Council, which is under contract to Saskatchewan Health.
Pediatric patients (N=40) with physical disabilities (cerebral palsy, developmental delay, acquired brain injury, spinal cord injury, Down syndrome, other) who were referred, assessed, and met inclusion criteria.
Not applicable.
Relative cost (in Canadian dollars) of providing units with recycled components compared with purchasing new units.
The average cost of a used wheelchair was Can $698.11. The average cost of a new chair was $2143.69, leading to an average savings per chair of $1445.58. Of the 49 chairs issued, this resulted in a total cost savings of $85,393.97. When labor costs were taken into account ($50,060.26), the savings amounted to $35,333.71. Overall cost reduction was 41.3%.
A retrospective analysis shows evidence of cost containment. Long-term sustainability of the program requires ongoing analysis of the cost and environmental advantages of a recycling program and review of benefits provided in relation to the ability to meet patient needs. This delivery model does incorporate accountability and a policy framework, which could serve as a model for other centers.
PubMed ID
22410182 View in PubMed
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