The cost-effectiveness of falls prevention interventions for older community-dwelling Australians

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dc.contributor.author Church, Jody en_US
dc.contributor.author Goodall, Stephen en_US
dc.contributor.author Norman, Richard en_US
dc.contributor.author Haas, Marion en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-10-12T03:34:54Z
dc.date.available 2012-10-12T03:34:54Z
dc.date.issued 2012 en_US
dc.identifier 2010003240 en_US
dc.identifier.citation Church Jody et al. 2012, 'The cost-effectiveness of falls prevention interventions for older community-dwelling Australians', Blackwell Publishing, vol. 36, no. 3, pp. 241-248. en_US
dc.identifier.issn 1326-0200 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/18808
dc.description.abstract Objective: To evaluate the cost-effectiveness of strategies designed to prevent falls among older people. Methods: A decision analytic Markov model of interventions designed to prevent falls was developed. Incremental cost-effectiveness ratios (ICERs) using quality adjusted life year (QALYs) as the measure, were calculated for those interventions aimed at the general population (home exercise, group exercise, tai chi, multiple and multi-factorial interventions); high-risk populations (group exercise, home hazard assessment/modification and multi-factorial interventions); and specific populations (cardiac pacing, expedited cataract surgery and psychotropic medication withdrawal). Uncertainty was explored using univariate and probabilistic sensitivity analysis. Conclusion: In the general population, compared with no intervention the ICERs were tai chi ($44,205), group-based exercise ($70,834), multiple interventions ($72,306), home exercise ($93,432), multifactorial interventions with only referral ($125,868) and multifactorial interventions with an active component ($165,841). The interventions were ranked by cost in order to exclude dominated interventions (more costly, less effective) and extendedly dominated interventions (where an intervention is more costly and less effective than a combination of two other interventions). Tai chi remained the only cost-effective intervention for the general population. Implications: Interventions designed to prevent falls in older adults living in the community can be cost-effective. However, there is uncertainty around some of the model parameters which require further investigation. en_US
dc.language en_US
dc.publisher Blackwell Publishing en_US
dc.relation.isbasedon http://dx.doi.org/10.1111/j.1753-6405.2011.00811.x en_US
dc.relation.isbasedon Accepted manuscript version
dc.rights The definitive version is available at www3.interscience.wiley.com
dc.title The cost-effectiveness of falls prevention interventions for older community-dwelling Australians en_US
dc.title.alternative An economic evaluation of falls prevention strategies for older adults living in the community in Australia
dc.parent Australian and New Zealand Journal of Public Health en_US
dc.journal.volume 36 en_US
dc.journal.number 3 en_US
dc.publocation Australia en_US
dc.identifier.startpage 241 en_US
dc.identifier.endpage 248 en_US
dc.cauo.name BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 140208 en_US
dc.personcode 11470820 en_US
dc.personcode 100433 en_US
dc.personcode 999404 en_US
dc.personcode 020119 en_US
dc.percentage 80 en_US
dc.classification.name Health Economics en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords cost effectiveness analysis; economic evaluation; falls prevention; Australia; Markov en_US
dc.staffid en_US
dc.staffid 020119 en_US


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