A modelling-based economic evaluation of primary-care-based fall-risk screening followed by fall-prevention intervention: a cohort-based Markov model stratified by older age groups.

ABSTRACT: BACKGROUND:fall-risk assessment with fall-prevention intervention referral for at-risk groups to avoid falls could be cost-effective from a care-payer perspective. AIMS:to model the cost-effectiveness of a fall-risk assessment (QTUG compared to TUG) with referral to one of four fall-prevention interventions (Otago, FaME, Tai Chi, home safety assessment and modification) compared to no care pathway, when the decision to screen is based on older age in a primary care setting for community-dwelling people. METHODS:a cohort-based, decision analytic Markov model was stratified by five age groupings (65-70, 70-75, 65-89, 70-89 and 75-89) to estimate cost per quality-adjusted life years (QALYs). Costs included fall-risk assessment, fall-prevention intervention and downstream resource use (e.g. in

SUBMITTER: Franklin M 

PROVIDER: S-EPMC6939287 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature