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    An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW

    Access Status
    Open access via publisher
    Authors
    Church, J.
    Goodall, S.
    Norman, Richard
    Haas, M.
    Date
    2011
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Church, J. and Goodall, S. and Norman, R. and Haas, M. 2011. An Economic Evaluation of Community and Residential Aged Care Falls Prevention Strategies in NSW. NSW Public Health Bulletin. 22 (3-4): pp. 60-68.
    Source Title
    NSW Public Health Bulletin
    DOI
    10.1071/NB10051
    ISSN
    10347674
    URI
    http://hdl.handle.net/20.500.11937/2950
    Collection
    • Curtin Research Publications
    Abstract

    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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