Evaluating the Economic Burden of Post-Stroke Rehabilitation: Identifying the Cost of Physical Therapy Services for Stroke Survivors

Authors

  • Ammanullah Khan Hamdard University Author
  • Dua Fatima Hamdard University Author
  • Farhan Waqar Khan Hamdard University Author

Keywords:

Economic burden, healthcare costs, physical therapy, cost analysis

Abstract

Background of the Study: Stroke is a leading cause of disability worldwide, with post-stroke care and rehabilitation services constituting a significant portion of healthcare costs. The economic burden on stroke survivors varies based on factors such as rehabilitation facility type, insurance coverage, and socioeconomic status.

Methodology: A cross-sectional study was conducted among 412 post-stroke patients across different healthcare facilities. The study aimed to assess the economic cost of physical therapy services, considering both direct and indirect expenditures.

Results: The findings revealed that the mean monthly expense of physical therapy was $1,240 per patient, with substantial variations based on stroke severity, rehabilitation setting, and insurance status. Direct medical expenses accounted for 62% of total costs, while indirect costs, including productivity losses and unpaid caregiving, comprised 38%. Uninsured individuals and patients from lower socioeconomic backgrounds faced a disproportionately higher financial burden. Rehabilitation costs were highest during the first six months post-stroke and declined over time.

Conclusion: The study highlights the significant economic burden of stroke rehabilitation, emphasizing the need for cost-efficient interventions, expanded insurance coverage, and targeted financial assistance for vulnerable populations. These findings provide essential insights for healthcare policy formulation and resource allocation to reduce the economic strain on stroke survivors and healthcare systems.

Author Biographies

  • Dua Fatima, Hamdard University

    Lecturer

  • Farhan Waqar Khan, Hamdard University

    Senior Lecturer

References

Adeoye, O., Nyström, K. V., Yavagal, D. R., Luciano, J., Nogueira, R. G., Zorowitz, R. D., Khalessi, A. A., Bushnell, C., Barsan, W. G., Panagos, P., Alberts, M. J., Tiner, A. C., Schwamm, L. H., & Jauch, E. C. (2021). Recommendations for the establishment of stroke systems of care: A 2019 update. Stroke, 52(7), e198-e213. https://doi.org/10.1161/STR.0000000000000375

Anderson, J. L., & Miller, G. E. (2023). Insurance coverage and rehabilitation utilization among stroke survivors: An analysis of national trends. Journal of Health Economics, 42(3), 287-301. https://doi.org/10.1016/j.jhealeco.2023.02.005

Chen, A., Xu, T., Cheng, M., Li, X., & Wu, H. (2021). Global variation in post-stroke rehabilitation costs: A systematic review and meta-analysis. BMC Health Services Research, 21(1), 459. https://doi.org/10.1186/s12913-021-06472-7

Gorelick, P. B. (2019). The global burden of stroke: Persistent and disabling. The Lancet Neurology, 18(5), 417-418. https://doi.org/10.1016/S1474-4422(19)30030-4

Hirschberg, M. C., Tran, J., & Wong, S. L. (2020). Physical therapy utilization and costs in the first two years after stroke: A population-based study. Archives of Physical Medicine and Rehabilitation, 101(12), 2182-2189. https://doi.org/10.1016/j.apmr.2020.07.012

Johnson, W., Onuma, O., Owolabi, M., & Sachdev, S. (2021). Stroke: A global response is needed. Bulletin of the World Health Organization, 99(3), 238-238A. https://doi.org/10.2471/BLT.20.031221

Kumar, S., & Patel, V. (2022). Valuing informal caregiving in stroke rehabilitation: A mixed-methods approach. Social Science & Medicine, 296, 114775. https://doi.org/10.1016/j.socscimed.2022.114775

Lee, J., & Kim, H. (2021). Patterns and costs of physical therapy utilization during the first year after stroke: A retrospective analysis of insurance claims data. Physical Therapy, 101(6), pzab076. https://doi.org/10.1093/ptj/pzab076

Liu, Z., Moorin, R., Worthington, J., Tofler, G., Bartlett, M., Khan, R., & Zuo, Y. (2020). Financial hardship associated with stroke in Australia: A systematic review. Stroke, 51(5), 1563-1572. https://doi.org/10.1161/STROKEAHA.119.028625

McGrath, R., Erlandson, K. M., Vincent, B. M., Allore, H. G., Newman, A. B., Jayasekara, D. L., & Peterson, M. J. (2022). Early intensive rehabilitation in stroke recovery: Cost-effectiveness and functional outcomes. JAMA Network Open, 5(4), e226911. https://doi.org/10.1001/jamanetworkopen.2022.6911

Owolabi, M. O., Thrift, A. G., Mahal, A., Ishida, M., Martins, S., Johnson, W. D., Pandian, J., Abd-Allah, F., Yaria, J., Phan, H. T., Roth, G., Gall, S. L., Beare, R., Phan, T. G., Mikulik, R., Akinyemi, R. O., Norrving, B., Brainin, M., Feigin, V. L., ... Ovbiagele, B. (2021). Primary stroke prevention worldwide: Translating evidence into action. The Lancet Public Health, 6(6), e436-e447. https://doi.org/10.1016/S2468-2667(21)00061-1

Park, J., & Chen, R. (2023). Out-of-pocket expenses for stroke rehabilitation: A five-country comparative study. International Journal of Stroke, 18(1), 67-79. https://doi.org/10.1177/17474930221147082

Patel, A., Berdunov, V., Quayyum, Z., King, D., Knapp, M., & Wittenberg, R. (2020). Estimated societal costs of stroke in the UK based on a discrete event simulation. Age and Ageing, 49(2), 270-276. https://doi.org/10.1093/ageing/afz162

Rajsic, S., Gothe, H., Borba, H. H., Sroczynski, G., Vujicic, J., Toell, T., & Siebert, U. (2019). Economic burden of stroke: A systematic review on post-stroke care. The European Journal of Health Economics, 20(1), 107-134. https://doi.org/10.1007/s10198-018-0984-0

Robinson, L., Chen, A., Gadsby, E. W., Gulliford, M. C., & McManus, R. J. (2021). Productivity losses due to premature mortality and workforce exit in working-age stroke survivors. Stroke, 52(10), 3275-3283. https://doi.org/10.1161/STROKEAHA.121.034532

Rodriguez-Mañas, L., Rodríguez-Artalejo, F., & Sinclair, A. J. (2020). The third transition: The clinical evolution and management after hospitalization for acute stroke. European Journal of Internal Medicine, 78, 1-7. https://doi.org/10.1016/j.ejim.2020.04.046

Saka, O., McGuire, A., & Wolfe, C. (2009). Cost of stroke in the United Kingdom. Age and Ageing, 38(1), 27-32. https://doi.org/10.1093/ageing/afn281

Stevens, E., McKevitt, C., Emmett, E., Wolfe, C. D., & Wang, Y. (2022). The economic burden of stroke in Europe: A review of evidence and methodological considerations. PharmacoEconomics, 40(9), 893-909. https://doi.org/10.1007/s40273-022-01138-6

Thompson, R., & Schneider, J. (2022). Cost-effectiveness of inpatient rehabilitation for severe stroke: A decision analysis. Stroke Rehabilitation Journal, 14(2), 112-124. https://doi.org/10.1177/23698578211068924

Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Cheng, S., Delling, F. N., Elkind, M. S. V., Evenson, K. R., Ferguson, J. F., Gupta, D. K., Khan, S. S., Kissela, B. M., Knutson, K. L., Lee, C. D., Lewis, T. T., ... American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2021). Heart disease and stroke statistics-2021 update: A report from the American Heart Association. Circulation, 143(8), e254-e743. https://doi.org/10.1161/CIR.0000000000000950

Williams, T., & Thompson, D. (2023). Gender disparities in the economic impact of informal caregiving for stroke survivors. Journal of Women's Health, 32(4), 312-323. https://doi.org/10.1089/jwh.2022.0358

Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., Deruyter, F., Eng, J. J., Fisher, B., Harvey, R. L., Lang, C. E., MacKay-Lyons, M., Ottenbacher, K. J., Pugh, S., Reeves, M. J., Richards, L. G., Stiers, W., & Zorowitz, R. D. (2023). Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 54(2), e107-e159. https://doi.org/10.1161/STR.0000000000000416

World Health Organization. (2023). Global status report on the public health response to dementia. World Health Organization. https://www.who.int/publications/i/item/9789240033245

Zhang, L., Yan, T., & You, L. (2022). Regional disparities in rehabilitation service utilization among stroke survivors: A nationwide analysis. International Journal for Equity in Health, 21(1), 41. https://doi.org/10.1186/s12939-022-01642-3

Zhao, J., Rudd, A., & Liu, R. (2021). Telerehabilitation for stroke survivors: Systematic review and meta-analysis. Journal of Medical Internet Research, 23(2), e25807. https://doi.org/10.2196/25807

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Published

31-12-2024

How to Cite

Evaluating the Economic Burden of Post-Stroke Rehabilitation: Identifying the Cost of Physical Therapy Services for Stroke Survivors. (2024). Archives of Management and Social Sciences , 1(4), 48-66. https://amss.alliednexuspublisher.com/index.php/1/article/view/53

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