Possibilities for evaluating cost-effectiveness of family system nursing: An example based on
Family Health Conversations with families in which a middle-aged family member had suffered stroke
Sammanfattning
Family Health Conversations (FamHC) increase health and well-being, but knowledge about their
cost-effectiveness, and how to best calculate this, is lacking. In this feasibility study we evaluated
the cost-effectiveness of using FamHC with families in which a middle-aged family member had
suffered stroke. Seven families participated in a FamHC intervention and seven families received
ordinary care. Health-related quality of life (HRQoL) was estimated with SF-6D and EQ-5D over a
six-month period. The cost-effectiveness of the intervention was calculated. Families receiving
FamHC intervention had significantly increased HRQoL at follow up. Cost per quality adjusted life
year differed depending on the instrument and analysis method used in the calculation. However, all
calculations showed that FamHC were cost-effective. We conclude that FamHC significantly increase
HRQoL and suggest that they are cost-effective. Both instruments seemed to be able to capture
changes. Considering the participants’ experience of answering the two instruments, we advocate the
use of EQ-5D.