Economic analysis of a community-based falls prevention program

Beard, J., Rowell, D., Scott, D., van Beurden, E., Barnett, L., Hughes, K. and Newman, B. 2006, Economic analysis of a community-based falls prevention program, Public health, vol. 120, no. 8, pp. 742-751.

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Title Economic analysis of a community-based falls prevention program
Author(s) Beard, J.
Rowell, D.
Scott, D.
van Beurden, E.
Barnett, L.
Hughes, K.
Newman, B.
Journal name Public health
Volume number 120
Issue number 8
Start page 742
End page 751
Publisher WB Saunders
Place of publication London, England
Publication date 2006-08
ISSN 0033-3506
1476-5616
Keyword(s) falls prevention
cost–benefit analysis
diagnosis-related groups
net present value
health promotion
Summary Objectives: To undertake a cost–benefit analysis of ‘Stay on Your Feet’, a community-based falls prevention program targeting older people at all levels of risk in New South Wales, Australia. Hospital separations were monitored in the intervention region, a control region and for the state of New South Wales as a whole. Changing admission patterns over the intervention period were used to assess the impact of the program.

Methods: Cost–benefit analysis compared the costs of the program with two estimates of savings from avoided hospital admissions. The first compared the cost of hospital admissions in the intervention region to a control region of similar demographics, while the second compared hospital utilization in the intervention region with the state of New South Wales as a whole using falls-related hospital diagnosis related group (DRG) codes.

Results
: The total direct costs of the program were estimated at A$781 829. Both methods identified clear overall net benefits ranging from A$5.4 million for avoided hospitalizations alone to A$16.9 million for all avoided direct and indirect costs. The confidence intervals around these estimates were small. The average overall benefit to cost ratio for the intervention as a whole was 20.6:1.

Conclusions
: These findings suggest that well-designed community-based interventions targeting falls prevention among older people are highly cost effective and a wise investment for all levels of government. The models used are conservative and are likely to underestimate the real benefit of the intervention, which may have lasted for some time beyond the life of the program.
Language eng
Field of Research 111716 Preventive Medicine
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2006, W.B. Saunders Co.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30022517

Document type: Journal Article
Collection: School of Health and Social Development
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