Efficiency and equity of community-based falls prevention pathways: a model-based health economic evaluation.

ABSTRACT:

Background

Three pathways exist for community-based falls prevention: reactive (R), after a fall requiring medical attention; proactive (P), after professional referral of high-risk individuals; and self-referred (SR), voluntary intervention enrolment. The UK guidelines recommend scale-up of all three ['recommended care' (RC)], but scale-up of none ['usual care' (UC)], one (R, P, SR) or two (R+P, R+SR, P+SR) are potential options. This study aims to compare the options in terms of efficiency and equity.

Methods

Cost-utility analysis from the societal perspective over a 40-year horizon identified the optimal strategy based on efficiency alone. Probabilistic sensitivity analysis accounted for parameter uncertainty. Efficiency and equity were jointly evaluated by distributional

SUBMITTER: Kwon J 

PROVIDER: S-EPMC12318474 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature