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Cost-effectiveness of fall prevention programs based on home visits for seniors aged over 65 years
 — a systematic review
Author(s)Sandro Corrieri, Dirk Heider, Steffi G Riedel-Heller
Journal titleInternational Psychogeriatrics, vol 23, no 5, June 2011
Pagespp 711-723
Sourcehttp://www.journals.cambridge.org/ipg
KeywordsFalls ; Preventative medicine ; Domiciliary services ; Quality of life ; Cost effectiveness.
AnnotationPreventive home visits (PHVs) are considered a promising intervention to improve the health and independent functioning of older adults whilst reducing health care costs. This systematic review focused on the cost-effectiveness of PHVs, analysing randomised controlled trials that evaluated the incremental cost-effectiveness ratios in fall prevention interventions. Five studies providing relevant information were reviewed. While three of the studies indicated cost-effectiveness, one delivered no statistically significant results, and one proved cost-effectiveness only for a subgroup of the study sample. The authors conclude that the cost-effectiveness of PHVs appears to depend on careful adaptation of particular measures, for certain settings in special environments for designated patients and disease patterns, on a case-by-case basis. Starting points for further research are the components of the economic evaluation, the setting, personnel and measures of the intervention, as well as the careful selection and analysis of the study sample and its subgroups. A uniform follow-up time, standardised cost measurement as well as the use of standardised denominators like quality adjusted life years could build a foundation for comparable results. (JL).
Accession NumberCPA-110913003 A
ClassmarkOLF: LK2: N: F:59: WEC

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