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Cost effectiveness ...
Cost effectiveness of an intervention focused on reducing bathing disability
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- Zingmark, Magnus (author)
- Umeå universitet,Arbetsterapi,Enheten för demografi och åldrandeforskning (CEDAR),Community Care Administration, Municipality of Östersund, 83182 Östersund, Sweden
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- Nilsson, Ingeborg (author)
- Umeå universitet,Arbetsterapi,Enheten för demografi och åldrandeforskning (CEDAR)
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- Norström, Fredrik (author)
- Umeå universitet,Epidemiologi och global hälsa
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- Sahlén, Klas-Göran (author)
- Umeå universitet,Epidemiologi och global hälsa,Institutionen för omvårdnad
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- Lindholm, Lars (author)
- Umeå universitet,Epidemiologi och global hälsa
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(creator_code:org_t)
- 2016-11-28
- 2017
- English.
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In: European Journal of Ageing. - : Springer Science and Business Media LLC. - 1613-9372 .- 1613-9380. ; 14:3, s. 233-241
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Abstract
Subject headings
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- 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 longterm 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsterapi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Therapy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Cost effectiveness
- QALY
- Occupational therapy intervention
- Reablement
Publication and Content Type
- ref (subject category)
- art (subject category)
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