Radiography on wheels arrives to nursing homes - an economic assessment of a new health care technology in southern Sweden.
RATIONALE, AIMS AND OBJECTIVES
The process of transferring older, vulnerable adults from an elder care facility to the hospital for medical care can be an emotionally and physically stressful experience. The recent development of modern mobile radiography may help to ease this anxiety by allowing for evaluation in the nursing home itself. Up until this point, no health economic evaluation of the technology has been attempted in a Swedish setting. The objective of this study was to determine whether examinations of patients in elder care facilities with mobile radiography were cost-effective from a societal perspective compared with hospital-based radiological examinations.


METHODS
This prospective study included two groups of nursing home residents in two different areas in southern Sweden. All residents in the nursing homes were targeted for the study. Seventy-one patients were examined with hospital-based radiography at two hospitals, and 312 patients were examined using mobile radiography in nursing homes. Given that the diagnostic effects are regarded as equivalent, a cost minimization method was applied. Direct costs were estimated using prices from the county council, Region Skåne, Sweden.


RESULTS
From a societal perspective, mobile radiography was shown to have significantly lower costs per examination compared with hospital-based radiography. The difference in health care-related costs was also significant in favour of mobile radiography.


CONCLUSION
Mobile radiography can be used to examine patients in nursing homes at a lower cost than hospital-based radiography. Patients benefit from not having to transfer to a hospital for radiography, resulting in reduced anxiety for patients.
['Dozet|Alexander|A|', 'Ivarsson|Bodil|B|', 'Eklund|Karin|K|', 'Klefsgård|Rosemarie|R|', 'Geijer|Mats|M|http://orcid.org/0000-0003-0529-7723']
D020811:Biomedical Technology D003362:Cost-Benefit Analysis D006801:Humans D008952:Mobile Health Units D009735:Nursing Homes D019095:Point-of-Care Systems D011446:Prospective Studies D011871:Radiology D011795:Surveys and Questionnaires D013548:Sweden
mobile radiography evaluation cost-effectiveness X-ray equipment cost minimization technique residential aged care