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The Cost of Integrating a Physical Activity Counselor in the Primary Health Care Team.
MedLine Citation:
PMID:  22403209     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: This article assesses direct costs of integrating a physical activity counselor (PAC) into primary health care teams to improve physical activity levels of inactive patients. METHODS: A monthly cost analysis was conducted using data from 120 inactive patients, aged 18 to 69 years, who were recruited from a community-based family medicine practice. Relevant cost items for the intensive counseling group included (1) office expenses; (2) equipment purchases; (3) operating costs; (4) costs of training the PAC; and (5) labor costs. Physical and human capital were amortized over a 5-year horizon at a discount rate of 5%. RESULTS: Integrating a PAC into the primary health care team incurred an estimated one-time cost of CA$91.43 per participant per month. Results were very sensitive to the number of patients counseled. CONCLUSIONS: The costs associated with the intervention are lower than many other intervention studies attempting to improve population physical activity levels. Demonstrating this competitive cost base should encourage additional research to assess the effectiveness of integrating a PAC into primary health care teams to promote active living among patients who do not meet recommended physical activity levels.
Authors:
William E Hogg; Xue Zhao; Douglas Angus; Michelle Fortier; Jianwei Zhong; Tracey O'Sullivan; Ronald J Sigal; Chris Blanchard
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Journal of the American Board of Family Medicine : JABFM     Volume:  25     ISSN:  1557-2625     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256526     Medline TA:  J Am Board Fam Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  250-252     Citation Subset:  -    
Affiliation:
the Department of Family Medicine, the Institute of Population Health, and the School of Psychology, University of Ottawa, Ottawa, Ontario, Canada; C.T. Lamont Primary Health Care Research Centre, Élisabeth Bruyère Research Institute, Ottawa, Ontario, Canada; Department of Economics, Carleton University, Ottawa, Ontario, Canada; Departments of Medicine, Cardiac Sciences, and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; and Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
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