Modelling long-term cost-effectiveness of health promotion for community-dwelling older people
Zingmark, Magnus LU
; Norström, Fredrik
; Lindholm, Lars
; Dahlin-Ivanoff, Synneve
LU
and Gustafsson, Susanne
(2019)
In European Journal of Ageing
16(4).
p.395-404
- Abstract
The effectiveness of health promotion for community-dwelling older people is well documented; however, there is a general lack of health economic evaluations. The aim of the present study was to evaluate long-term cost-effectiveness over 4 years of two health promoting interventions: senior meetings and a preventive home visit, for community-dwelling older people in relation to no intervention. We applied a Markov model including five states defined in relation to level of dependency of home help and place of residency. The model included transitions between dependency states, scores for quality of life and societal costs for each state, intervention costs and intervention effects for two formats of health promoting interventions. For... (More)
The effectiveness of health promotion for community-dwelling older people is well documented; however, there is a general lack of health economic evaluations. The aim of the present study was to evaluate long-term cost-effectiveness over 4 years of two health promoting interventions: senior meetings and a preventive home visit, for community-dwelling older people in relation to no intervention. We applied a Markov model including five states defined in relation to level of dependency of home help and place of residency. The model included transitions between dependency states, scores for quality of life and societal costs for each state, intervention costs and intervention effects for two formats of health promoting interventions. For each intervention and a no-intervention control group, we calculated the accumulated quality-adjusted life years (QALYs) and societal costs over 4 years. Sensitivity analyses included higher intervention costs, lower intervention effects and additional intervention costs and effects related to booster sessions. The results of all analyses indicated that health promotion implemented for community-dwelling older people in the format of senior meetings or a preventive home visit was cost-effective. Both interventions lead to QALY gains and reduce societal costs at any follow-up over 4 years, and thus, resources can be used to implement other interventions. The most important factor for the magnitude of QALY gains and cost savings was the intervention effect. Yearly booster sessions implemented for those persons who maintained their level of functioning extended the intervention effects adding additional QALYs and further reducing societal costs.
(Less)
- author
- Zingmark, Magnus
LU
; Norström, Fredrik
; Lindholm, Lars
; Dahlin-Ivanoff, Synneve
LU
and Gustafsson, Susanne
- publishing date
- 2019-12
- type
- Contribution to journal
- publication status
- published
- in
- European Journal of Ageing
- volume
- 16
- issue
- 4
- pages
- 395 - 404
- publisher
- Springer
- external identifiers
-
- scopus:85062045626
- pmid:31798365
- ISSN
- 1613-9372
- DOI
- 10.1007/s10433-019-00505-1
- language
- English
- LU publication?
- no
- additional info
- © The Author(s) 2019.
- id
- b6cd2e51-ddd8-4fac-bb9e-32afb9cd951e
- date added to LUP
- 2020-05-29 16:40:38
- date last changed
- 2024-04-03 07:33:10
@article{b6cd2e51-ddd8-4fac-bb9e-32afb9cd951e,
abstract = {{<p>The effectiveness of health promotion for community-dwelling older people is well documented; however, there is a general lack of health economic evaluations. The aim of the present study was to evaluate long-term cost-effectiveness over 4 years of two health promoting interventions: senior meetings and a preventive home visit, for community-dwelling older people in relation to no intervention. We applied a Markov model including five states defined in relation to level of dependency of home help and place of residency. The model included transitions between dependency states, scores for quality of life and societal costs for each state, intervention costs and intervention effects for two formats of health promoting interventions. For each intervention and a no-intervention control group, we calculated the accumulated quality-adjusted life years (QALYs) and societal costs over 4 years. Sensitivity analyses included higher intervention costs, lower intervention effects and additional intervention costs and effects related to booster sessions. The results of all analyses indicated that health promotion implemented for community-dwelling older people in the format of senior meetings or a preventive home visit was cost-effective. Both interventions lead to QALY gains and reduce societal costs at any follow-up over 4 years, and thus, resources can be used to implement other interventions. The most important factor for the magnitude of QALY gains and cost savings was the intervention effect. Yearly booster sessions implemented for those persons who maintained their level of functioning extended the intervention effects adding additional QALYs and further reducing societal costs.</p>}},
author = {{Zingmark, Magnus and Norström, Fredrik and Lindholm, Lars and Dahlin-Ivanoff, Synneve and Gustafsson, Susanne}},
issn = {{1613-9372}},
language = {{eng}},
number = {{4}},
pages = {{395--404}},
publisher = {{Springer}},
series = {{European Journal of Ageing}},
title = {{Modelling long-term cost-effectiveness of health promotion for community-dwelling older people}},
url = {{http://dx.doi.org/10.1007/s10433-019-00505-1}},
doi = {{10.1007/s10433-019-00505-1}},
volume = {{16}},
year = {{2019}},
}