Cost effectiveness of an intervention focused on reducing bathing disability
Zingmark, Magnus LU
; Nilsson, Ingeborg
; Norström, Fredrik
; Sahlén, Klas Göran
and Lindholm, Lars
LU
(2017)
In European Journal of Ageing
14.
p.233-241
- Abstract
The onset of bathing disability among older people is critical for a decline in functioning and has implications for both the individuals' quality of life and societal costs. The aim of this study was to evaluate long-term cost effectiveness of an intervention targeting bathing disability among older people. For hypothetical cohorts of community-dwelling older people with bathing disability, transitions between states of dependency and death were modelled over 8 years including societal costs. A five-state Markov model based on states of dependency was used to evaluate Quality-adjusted life years (QALYs) and costs from a societal perspective. An intervention group was compared with a no intervention control group. The intervention... (More)
The onset of bathing disability among older people is critical for a decline in functioning and has implications for both the individuals' quality of life and societal costs. The aim of this study was to evaluate long-term cost effectiveness of an intervention targeting bathing disability among older people. For hypothetical cohorts of community-dwelling older people with bathing disability, transitions between states of dependency and death were modelled over 8 years including societal costs. A five-state Markov model based on states of dependency was used to evaluate Quality-adjusted life years (QALYs) and costs from a societal perspective. An intervention group was compared with a no intervention control group. The intervention focused on promoting safe and independent performance of bathing-related tasks. The intervention effect, based on previously published trials, was applied in the model as a 1.4 increased probability of recovery during the first year. Over the full follow-up period, the intervention resulted in QALY gains and reduced societal cost. After 8 years, the intervention resulted in 0.052 QALYs gained and reduced societal costs by €2410 per person. In comparison to the intervention cost, the intervention effect was a more important factor for the magnitude of QALY gains and long-term societal costs. The intervention cost had only minor impact on societal costs. The conclusion was that an intervention targeting bathing disability among older people presents a cost-effective use of resources and leads to both QALY gains and reduced societal costs over 8 years.
(Less)
- author
- Zingmark, Magnus
LU
; Nilsson, Ingeborg
; Norström, Fredrik
; Sahlén, Klas Göran
and Lindholm, Lars
LU
- publishing date
- 2017-09
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European Journal of Ageing
- volume
- 14
- pages
- 233 - 241
- publisher
- Springer
- external identifiers
-
- pmid:28936134
- scopus:84997839845
- ISSN
- 1613-9372
- DOI
- 10.1007/s10433-016-0404-1
- language
- English
- LU publication?
- no
- id
- 4f85cb55-526d-4c02-ae03-e71818792a81
- date added to LUP
- 2020-05-29 16:39:19
- date last changed
- 2024-06-12 15:40:34
@article{4f85cb55-526d-4c02-ae03-e71818792a81,
abstract = {{<p>The onset of bathing disability among older people is critical for a decline in functioning and has implications for both the individuals' quality of life and societal costs. The aim of this study was to evaluate long-term cost effectiveness of an intervention targeting bathing disability among older people. For hypothetical cohorts of community-dwelling older people with bathing disability, transitions between states of dependency and death were modelled over 8 years including societal costs. A five-state Markov model based on states of dependency was used to evaluate Quality-adjusted life years (QALYs) and costs from a societal perspective. An intervention group was compared with a no intervention control group. The intervention focused on promoting safe and independent performance of bathing-related tasks. The intervention effect, based on previously published trials, was applied in the model as a 1.4 increased probability of recovery during the first year. Over the full follow-up period, the intervention resulted in QALY gains and reduced societal cost. After 8 years, the intervention resulted in 0.052 QALYs gained and reduced societal costs by €2410 per person. In comparison to the intervention cost, the intervention effect was a more important factor for the magnitude of QALY gains and long-term societal costs. The intervention cost had only minor impact on societal costs. The conclusion was that an intervention targeting bathing disability among older people presents a cost-effective use of resources and leads to both QALY gains and reduced societal costs over 8 years.</p>}},
author = {{Zingmark, Magnus and Nilsson, Ingeborg and Norström, Fredrik and Sahlén, Klas Göran and Lindholm, Lars}},
issn = {{1613-9372}},
language = {{eng}},
pages = {{233--241}},
publisher = {{Springer}},
series = {{European Journal of Ageing}},
title = {{Cost effectiveness of an intervention focused on reducing bathing disability}},
url = {{http://dx.doi.org/10.1007/s10433-016-0404-1}},
doi = {{10.1007/s10433-016-0404-1}},
volume = {{14}},
year = {{2017}},
}