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...

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Main Authors: Church, J., Goodall, S., Norman, Richard, Haas, M.
Format: Journal Article
Published: NSW Health 2011
Online Access:http://hdl.handle.net/20.500.11937/2950
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author Church, J.
Goodall, S.
Norman, Richard
Haas, M.
author_facet Church, J.
Goodall, S.
Norman, Richard
Haas, M.
author_sort Church, J.
building Curtin Institutional Repository
collection Online Access
description 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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publishDate 2011
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spelling curtin-20.500.11937-29502017-09-13T14:32:14Z An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW Church, J. Goodall, S. Norman, Richard Haas, M. 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. 2011 Journal Article http://hdl.handle.net/20.500.11937/2950 10.1071/NB10051 NSW Health unknown
spellingShingle Church, J.
Goodall, S.
Norman, Richard
Haas, M.
An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW
title An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW
title_full An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW
title_fullStr An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW
title_full_unstemmed An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW
title_short An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW
title_sort economic evaluation of community and residential aged care falls prevention strategies in nsw
url http://hdl.handle.net/20.500.11937/2950