An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW
Aim: To evaluate the cost-effectiveness of strategies designed to prevent falls amongst people aged 65 years and over living in the community and in residential aged-care facilities.Methods: A systematic review and meta-analysis of the literature was conducted. The pooled fall rate ratio was used in...
| Main Authors: | , , , |
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| Format: | Journal Article |
| Published: |
NSW Health
2011
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| Online Access: | http://hdl.handle.net/20.500.11937/2950 |
| Summary: | Aim: To evaluate the cost-effectiveness of strategies designed to prevent falls amongst people aged 65 years and over living in the community and in residential aged-care facilities.Methods: A systematic review and meta-analysis of the literature was conducted. The pooled fall rate ratio was used in a decision analytic model that combined a Markov model and decision tree to estimate the costs and outcomes of potential interventions and/or strategies. The resulting cost per quality-adjusted life year was estimated.Results: The most cost-effective falls prevention strategy in community-dwelling older people was Tai Chi. Expedited cataract surgery and psychotropic medication withdrawal were also found to be cost-effective; however, the effectiveness of these interventions is less certain due to small numbers of trials and participants. The most costeffective falls prevention strategies in residential aged-care facilities were medication review and vitamin D supplementation. |
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