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This chapter discusses health-economic perspectives in reablement and describes evaluation methods such as cost analysis, cost-effectiveness, and cost-utility analysis. The aim is to provide a summary of existing evidence, and to discuss health economic perspectives of reablement from a clinical and future research perspective. Eight studies comparing reablement to conventional home care were included; four cost-analyses and four cost-effectiveness analyses; time horizons for follow-up varied from 6 weeks to a lifetime perspective.
The results indicated that reablement was the more cost-effective intervention in seven studies; in five studies reablement resulted in both larger effects and/or lower costs; in two studies reablement resulted in larger effects and larger costs within established cost-effectiveness thresholds. AÂ summary of the existing evidence indicates that reablement is promising regarding cost-effectiveness compared to usual home care services, but the evidence base is limited; additional studies designed to capture health-economic perspectives over the long term are urgently needed.
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