Modelling long-term cost-effectiveness of health promotion for community-dwelling older people

Magnus Zingmark (), Fredrik Norström (), Lars Lindholm, Synneve Dahlin-Ivanoff and Susanne Gustafsson
Additional contact information
Magnus Zingmark: Municipality of Östersund
Fredrik Norström: Umeå University
Lars Lindholm: Umeå University
Synneve Dahlin-Ivanoff: The Sahlgrenska Academy at the University of Gothenburg
Susanne Gustafsson: The Sahlgrenska Academy at the University of Gothenburg

European Journal of Ageing, 2019, vol. 16, issue 4, No 1, 395-404

Abstract: Abstract 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.

Keywords: Senior meetings; Preventive home visit; QALYs; Booster session; Health economy; Multi-professional (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

Downloads: (external link)
http://link.springer.com/10.1007/s10433-019-00505-1 Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:eujoag:v:16:y:2019:i:4:d:10.1007_s10433-019-00505-1

Ordering information: This journal article can be ordered from
https://www.springer ... iences/journal/10433

DOI: 10.1007/s10433-019-00505-1

Access Statistics for this article

European Journal of Ageing is currently edited by Marja Aartsen, Susanne Iwarsson and Prof. Dr. Matthias Kliegel

More articles in European Journal of Ageing from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().