HEALTH SERVICE DELIVERY AND ECONOMIC EVALUATION OF LIMB LOWER BONE-ANCHORED PROSTHESES: A SUMMARY OF THE QUEENSLAND ARTIFICIAL LIMB SERVICE’S EXPERIENCE

The emergence of skeletal prosthetic attachments leaves governmental organizations facing the challenge implementing equitable policies that support provision bone-anchored prostheses (BAPs). In 2013, Queensland Artificial Limb Service (QALS) started a five-year research project focusing on health service delivery and economic evaluation BAPs. This paper reflects QALS experience, particularly lessons learned. QALS’ jurisdiction drivers are presented first, followed by impact outcomes, barriers, facilitators, as well future developments this work. 21 publications produced during (e.g., reimbursement policy, role prosthetists, continuous improvement procedure, quality life, preliminary cost-utilities) were summarized. Literature past, current, upcoming BAP was reviewed to discuss practical implications A primary outcome policy developed supporting up 22 h labor for care. indicative incremental cost-utility ratio transfemoral transtibial BAPs approximately AUD$17,000 AUD$12,000, respectively, per quality-adjusted life-year compared socket prostheses. challenged 17 barriers limited resources, inconsistency care pathways, design analyses) but eased 18 facilitators action plan, customized database, use free repositories). conclusion, we concluded lower limb might be an acceptable alternative from Australian government perspective. Hopefully, work will inform promoters innovations committed making bionic solutions widely accessible growing population individuals suffering loss worldwide.
 Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/36210/28330
 How To Cite: Berg D, Frossard L. Health prostheses: summary artificial service’s experience. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.12. https://doi.org/10.33137/cpoj.v4i2.36210
 Corresponding Author: Laurent Frossard, PhD, Professor BionicsYourResearchProject Pty Ltd, Brisbane, Australia.E-Mail: [email protected] number: https://orcid.org/0000-0002-0248-9589