J Med Assoc Thai 1998; 81 (8):572

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Effectiveness and Cost Analysis of Community-Based Rehabilitation Service in Bangkok
Jitapunkul S Mail, Bunnag S , Ebrahim S

This paper aimed to clarify the effectiveness and the cost of the community-based rehabilitation
service in Klong Toey slum after a three year study period. One hundred and seventy eight
patients used community-based rehabilitation during the three year period. One hundred and
fifty-seven patients (86.5%) reported that their problems/conditions were cured or improved.
Only nine patients (5.1%) reported that they stopped using community-based rehabilitation because
their problems/conditions did not improve. A statistically significant improvement in pain level
and walking velocity assessment, in 105 and 78 patients respectively, was demonstrated. Total
cost and cost per patient-day of the community-based rehabilitation were Bt 559,920 and Bt 111.1
respectively. Cost per-patient-day of this community-based rehabilitation service was compared
with an estimated cost per patient-day of using rehabilitation services at Chulalongkorn University
Hospital and was found to be cheaper. This study supported the role of community-based rehabilitation
in Thailand. The need for a health service study in rural areas was also noted.

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