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Related Experiment Videos

Economic evaluation of a community based exercise programme to prevent falls.

M C Robertson1, N Devlin, P Scuffham

  • 1Department of Medical and Surgical Sciences, University of Otago Medical School, Dunedin, New Zealand. clare.robertson@stonebow.otago.ac.nz

Journal of Epidemiology and Community Health
|July 13, 2001
PubMed
Summary

A home-based exercise program reduced falls in older women but did not significantly lower healthcare costs. This study provides cost-effectiveness data for falls prevention strategies.

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Area of Science:

  • Gerontology
  • Public Health
  • Health Economics

Background:

  • Falls are a significant cause of hospital costs in older adults.
  • Effective fall prevention strategies are crucial for reducing healthcare burdens.

Purpose of the Study:

  • To evaluate the incremental costs and cost-effectiveness of a home-based muscle strengthening and balance retraining program.
  • To determine if the program, which reduced falls and injuries, was cost-effective in older women.

Main Methods:

  • A randomized controlled trial with two years of follow-up was conducted.
  • Participants (women aged 80+) were assigned to an exercise program or usual care.
  • Economic evaluation included intervention costs, fall-related healthcare costs, and total healthcare costs.

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Main Results:

  • Falls accounted for 27% of total hospital costs.
  • No significant differences in overall health service costs were observed between groups.
  • The exercise program cost $314-$265 per fall prevented and $457-$426 per injury prevented (1995 NZD).

Conclusions:

  • Home exercise programs can reduce falls in older women.
  • Despite fall reduction, significant healthcare cost savings were not demonstrated.
  • Findings offer valuable cost-effectiveness insights for falls prevention strategy development.