title: An interim prosthesis program for lower limb amputees: comparison of public and private models of service.
abstract: This study compared the outcomes of an interim mechanical prosthesis program for lower limb amputees operated under a public and private model of service. Over a two-year period, 60 transtibial amputees were fitted with an interim prosthesis as part of their early amputee care. Thirty-four patients received early amputee care under a public model of service, whereby a prosthetist was employed to provide the interim mechanical prosthesis service. The remaining 26 patients received early amputee care under a private model of service, where an external company was contracted to provide the interim mechanical prosthesis service. The results suggested comparable clinical outcomes between the two patient groups. However, the public model appeared to be less expensive with the average labour cost per patient being 29.0% lower compared with the private model. The results suggest that a public model of service may provide a more comprehensive and less expensive interim prosthesis program for lower limb amputees.
authors.affiliation: Centre for Health Service Development, University of Wollongong, Wollongong, 2522 Australia. robg@uow.edu.au
authors.forename: Robert
authors.initials: R
authors.lastname: Gordon
authors.forename: Christopher
authors.initials: C
authors.lastname: Magee
authors.forename: Anna
authors.initials: A
authors.lastname: Frazer
authors.forename: Craig
authors.initials: C
authors.lastname: Evans
authors.forename: Kathryn
authors.initials: K
authors.lastname: McCosker
mesh_terms: D000671:Amputation, Surgical / Q000592:standards; D000674:Amputees / Q000534:rehabilitation* / Q000706:statistics & numerical data; D001186:Artificial Limbs / Q000191:economics*; D001315:Australia / Q000453:epidemiology; D003365:Costs and Cost Analysis; D006269:Health Facilities, Proprietary / Q000458:organization & administration*; D006801:Humans; D007866:Leg; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D020127:Recovery of Function; D012047:Rehabilitation Centers / Q000458:organization & administration*; D013222:State Medicine / Q000458:organization & administration*