chapter  38
The Cost-Effectiveness of Neuropsychological Rehabilitation
WithAndrew Worthington, Sara da Silva Ramos, Michael Oddy
Pages 11

This chapter examines evidence that neuropsychological rehabilitation is cost-effective and represents value for money. It reviews current evidence on cost outcomes of both restorative and compensatory approaches in neuropsychological rehabilitation and the theoretical and practical difficulties of undertaking economic analysis in this field of health care. The chapter shows that evidence is emerging and there are many ways that neuropsychologists can contribute to the development of cost-effective interventions and service organisation. The simplest form of this is cost-minimisation analysis (CMA), a special form of cost-effectiveness analysis (CEA) that is used where outcomes are assumed to be equivalent and interest lies in identifying the least costly alternative. The main outcome for cost-effectiveness analysis was in terms of Hospital Anxiety and Depression Scale (HADS) scores. Some studies have examined how neuropsychological services might be better delivered and introduce low-cost interventions.