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Related Experiment Videos

Economic analysis of a community-based falls prevention program.

J Beard1, D Rowell, D Scott

  • 1Northern Rivers University Department of Rural Health, University of Sydney, Southern Cross University, PO Box 3074, Lismore NSW 2480, Australia. jbeard@med.usyd.edu.au

Public Health
|July 11, 2006
PubMed
Summary

The community-based "Stay on Your Feet" falls prevention program for older adults demonstrated significant cost-effectiveness. This intervention yielded substantial net benefits, proving to be a wise investment with a benefit-to-cost ratio of 20.6:1.

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Area of Science:

  • Public Health
  • Health Economics
  • Gerontology

Background:

  • Falls are a major cause of injury and hospitalization in older adults.
  • Community-based programs can play a vital role in preventing falls and reducing healthcare costs.
  • The 'Stay on Your Feet' program aimed to mitigate falls among older individuals in New South Wales, Australia.

Purpose of the Study:

  • To conduct a cost-benefit analysis of the 'Stay on Your Feet' falls prevention program.
  • To evaluate the program's economic impact by comparing its costs to savings from avoided hospital admissions.
  • To assess the program's effectiveness across all risk levels of older participants.

Main Methods:

  • A cost-benefit analysis was performed, comparing program costs to estimated savings from reduced hospitalizations.

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  • Hospital separations were monitored in intervention and control regions, as well as statewide.
  • Falls-related hospital diagnosis-related group (DRG) codes were used to analyze hospital utilization patterns.

    • Main Results:

    • The total direct cost of the program was A$781,829.
    • Net benefits ranged from A$5.4 million (avoided hospitalizations) to A$16.9 million (total direct and indirect costs).
    • The average benefit-to-cost ratio was a highly favorable 20.6:1, with small confidence intervals.

    Conclusions:

    • Community-based falls prevention interventions for older adults are highly cost-effective.
    • The 'Stay on Your Feet' program represents a wise investment for government funding.
    • The study's conservative models likely underestimate the program's true, long-term benefits.