Background
Method
Literature search
Inclusion of studies
Quality of included studies
Contact with service providers
Data extraction
Data synthesis
Results
Study characteristics
Unit costs of services in Australia
Services | Cost given by individual studies 2011 $AD | Mean (SD), range |
---|---|---|
Physiotherapy
| ||
Public Hospital Service | $67.94 per hour (12.00) $41.26-$76.10 | |
Group | $28.22 per patient (1.23) | |
Hydrotherapy | $25.79 per patient (14.16) | |
Outreach | $212.19 [18] | $212.19 |
Private per visit | $ 63.97per consultation (17.72) | |
First consultation | $89.29 per consultation (13.89) $69.24-$100.40 | |
Second consultation | $62.39 per consultation (7.4) $51.44-$70.14 | |
Medicare Benefits Schedule | $59.90-Fee $50.95- Rebate [5] | $55.43 per consultation |
Special Population Veterans’ Affairs | $60.82 per consultation ($60.53-$76.70) | |
Hourly rate
|
$157.75 per hour
| |
Percentage difference between the private and the MBS fee | 62-89% of the private fee | |
Fee suggested by professional association (National) | $79.25 (initial consultation) $66.95 (subsequent visits) | |
Occupational Therapy
| ||
Private per visit | $64.39 per consultation (15.12) $37.81-$85.80 | |
Medicare Benefits Schedule | $59.90-Fee $50.95- Rebate [5]2
| $55.43 per consultation |
Special Population Veterans’ Affairs | $61.10 (initial & standard) 3
| $61.10 per consultation $61.10-$111.25 |
Group Therapy | $21.95 per person [24] | $21.95 per person |
Hourly rate
|
$150.77 per hour
| |
Percentage difference between the private and the MBS fee | 86-146% of the private fee | |
Fee suggested by professional association (Victoria) | $120.00 per consultation (expected 1 hour duration) | |
Dietetics
| ||
Private per visit | $60.89 [6] | $60.89 per consultation |
First consultation | $93.72 per consultation (16.18) | |
Second consultation | $61.71 [17] | $61.71 per consultation |
Medicare Benefits Schedule | $59.90 - Fee $50.95- Rebate [5] | $55.43 per consultation |
Special Population Veterans’ Affairs | $85.30 (initial), $61.10 (standard) [24]4
| $73.20 per consultation |
Hourly rate
| $182.66 [7] |
$163.11 per hour
|
Percentage difference between the private and the MBS fee | 53-91% of the private fee | |
Fee suggested by professional association | Private practitioner survey $70-$130 per hour | |
Psychological Services
| ||
Private per visit | $93.56 [23] | $93.56 per consultation |
Medicare Benefits Schedule | $59.90- Fee $50.95- Rebate [5]5
| $55.43 per consultation |
Special Population Veterans’ Affairs |
Psychologist
| |
$69.35 (20–50 minutes) 6
| ||
$97.90 (50 + minutes) | ||
$146.90 (90 + minutes) | ||
Clinical Psychology
| ||
$97.90 (30–50 minutes) 7
| ||
$143.70 (50 + minutes) | ||
$215.60 (90 + minutes | ||
Hourly rate
|
$165.77
| |
Percentage difference between the private and the MBS fee | 59% of the private fee | |
Fee suggested by professional association | $222.00 per one hour consultation | |
Community Nursing
| ||
Private per visit | $56.09 per consultation (25.85) | |
Per hour | $60.19 per hour (27.93) | |
Special Population Veterans’ Affairs |
Average
8
| |
$40.47 ($37.65- $43.28) -20 minute visit | ||
Hourly rate
|
$105.76 per hour
| |
Percentage difference between the private and the MBS fee | 80-118% of the private fee | |
Fee suggested by professional association | No recommended fee by association Private agencies $46.94-$69.40 per hour | |
Podiatry
| ||
Private per visit | $22.95 [20] | $22.95 per consultation |
First consultation | $66.85 [17] | $66.85 per consultation |
Second consultation | $61.71 [17] | $61.71 per consultation |
Medicare Benefits Schedule | $59.90- Fee $50.95- Rebate [5] | $55.43 per consultation |
Special Population Veterans’ Affairs | $61.10 (standard) [24]9
| $61.10 per consultation |
Hourly rate
|
$129.72
| |
Percentage difference between the private and the MBS fee | 79-92% of the private fee | |
Fee suggested by professional association | Based on market demand ($60-$70 per consultation) | |
Staff travel
|
0.60c per km (0.17)
| |
Community Services
| ||
Personal care
|
$36.40 per hour (9.6)
| |
Meals on wheels
|
$11.10 per meal (7.71)
| |
Patient transport
|
$12.39 per trip (8.25)
| |
Domestic services
| ||
Domestic care rates per hour 12
| ||
$39.07 (Monday-Friday) | ||
$48.52 (Saturday) | ||
$57.31 (Sunday) | ||
Gardening $52.26 ($30.00-$60.00) per service (10 providers) | ||
Handyman rates $50.80 ($40-$80.30) per service (10 providers) |
International unit costs of services
Service | Cost given by individual studies 2011 $AD | Mean (SD), range |
---|---|---|
United Kingdom
| ||
Counselling | $94.57 per consultation (23.59) $77.89-$111.25 | |
Home care | $26.63 per hour (13.04) $17.75- $44.23 | |
Podiatry | $43.11 per consultation (12.92) $28.70-$53.67 | |
Dietetics | $135.67 [32] | $135.67 per consultation |
Home nursing | $54.90 per consultation (29.13) $34.50-$112.42 | |
Physiotherapy | (NHS) $41.08 per consultation (13.77) $24.29-$64.23 | |
$62.48 per hour [21] | (NHS) $62.48 per hour | |
(Private) $74.81 per consultation (32.19) $34.22-$104.14 | ||
$161.39 [37] | (Private) $161.39 per hour | |
Occupational Therapy | $58.86 per consultation (42.97) $24.29-$106.97 | |
Social Work | $247.58 per consultation (43.88) | |
Speech Pathology | $43.82 [34] | $43.82 per consultation |
$97.77 per hour (1.94) | ||
Meals | $7.85 per meal (2.82) | |
Family care | $26.78 [34] | $26.78 per hour |
Respite care | $145.25 per day (98.28) $63.57-$254.32 | |
Europe
| ||
Home care | $41.07 per consultation (12.59) $25.67-$55.21 | |
$60.15 [49] | $60.15 per hour | |
Home Nursing | $94.14 per consultation (49.27 $35.05-$151.64 | |
Physiotherapy | $66.23 per consultation (25.93) $36.75 -$85.49 | |
$70.16 per hour – public (22.48) $50.13-$94.47 | ||
Occupational Therapy | $96.78 per consultation (3.27) | |
$58.00 per hour- public (11.13) $50.13-$65.87 | ||
Staff travel | 0.37c per km (.01) 0.36-0.38c per km | |
Meals | $14.03 [49] | $14.03 per meal |
Cleaning | $54.13 [49] | $54.13 per hour |
United States
| ||
Counselling | $179.40 [14] per occasion of service | $179.40 per consultation |
Home care | $10.36 [54] per hour | $10.36 per hour |
Home nursing | $35.00 [54] per hour | $35.00 per hour |
Physiotherapy | $32.96 [54] per occasion of service | $32.96 per consultation |
Social work | $26.04 [54] per hour | $26.04 per hour |
Family care | $14.53 per hour (8.32) $8.64-$20.41 | |
Canada
| ||
Home care | $26.53 [56] | $26.53 per hour |
Home nursing | $67.56 [56] | $67.56 per consultation |
Physiotherapy | $111.21 [56] | $111.21 per consultation |
Occupational Therapy | $138.32 [56] | $138.32 per consultation |
Hong Kong
| ||
Home nursing | $65.11 [57] | $65.11 per consultation -public |
New Zealand
| ||
Home nursing | $20.80 [58] | $20.80 per hour |
Physiotherapy | $24.22 [58] | $24.22 per hour |
Occupational Therapy | $27.85 [59] | $27.85 per consultation-public |
Staff travel | 0.74c per km (.06) (0.69-0.78)c per km |