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Modelling long-term...
Modelling long-term cost-effectiveness of health promotion for community-dwelling older people
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- Zingmark, Magnus (författare)
- Umeå universitet,Institutionen för epidemiologi och global hälsa,Health and Social Care Administration, Municipality of Östersund, 83182 Östersund, Sweden
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- Norström, Fredrik (författare)
- Umeå universitet,Institutionen för epidemiologi och global hälsa
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- Lindholm, Lars (författare)
- Umeå universitet,Institutionen för epidemiologi och global hälsa
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- Dahlin-Ivanoff, Synneve, 1950 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Centrum för åldrande och hälsa (AgeCap),Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,Centre for Ageing and Health (Agecap)
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- Gustafsson, Susanne (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Centrum för åldrande och hälsa (AgeCap),Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,Centre for Ageing and Health (Agecap)
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(creator_code:org_t)
- 2019-02-23
- 2019
- Engelska.
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Ingår i: European Journal of Ageing. - : Springer. - 1613-9372 .- 1613-9380. ; 16:4, s. 395-404
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://gup.ub.gu.se...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsterapi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Therapy (hsv//eng)
Nyckelord
- Booster session
- Health economy
- Multi-professional
- Preventive home visit
- QALYs
- Senior meetings
- adult
- article
- community dwelling person
- controlled study
- cost control
- cost effectiveness analysis
- follow up
- health promotion
- home visit
- human
- quality adjusted life year
- sensitivity analysis
- Occupational therapy
- Booster session
- Health economy
- Multi-professional
- Preventive home visit
- QALYs
- Senior meetings
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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