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Modelling the cost-effectiveness of impact-absorbing flooring in Swedish residential care facilities.

https://arctichealth.org/en/permalink/ahliterature289574
Source
Eur J Public Health. 2016 06; 26(3):407-11
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
06-2016
Author
Linda Ryen
Mikael Svensson
Author Affiliation
Swedish Civil Contingencies Agency, Karlstad, Sweden linda.ryen@msb.se.
Source
Eur J Public Health. 2016 06; 26(3):407-11
Date
06-2016
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Accidental Falls - economics - prevention & control
Aged
Cost-Benefit Analysis - economics - methods - statistics & numerical data
Floors and Floorcoverings - economics - methods
Health Care Costs - statistics & numerical data
Hip Fractures - economics - prevention & control
Homes for the Aged
Humans
Markov Chains
Models, Economic
Sweden
Abstract
Fall-related injuries among the elderly, specifically hip fractures, cause significant morbidity and mortality as well as imposing a substantial financial cost on the health care system. Impact-absorbing flooring has been advocated as an effective method for preventing hip fractures resulting from falls. This study identifies the cost-effectiveness of impact-absorbing flooring compared to standard flooring in residential care facilities for the elderly in a Swedish setting.
An incremental cost-effectiveness analysis was performed comparing impact-absorbing flooring to standard flooring using a Markov decision model. A societal perspective was adopted and incremental costs were compared to incremental gains in quality-adjusted life years (QALYs). Data on costs, probability transitions and health-related quality of life measures were retrieved from the published literature and from Swedish register data. Probabilistic sensitivity analysis was performed through a Monte Carlo simulation.
The base-case analysis indicates that the impact-absorbing flooring reduces costs and increases QALYs. When allowing for uncertainty we find that 60% of the simulations indicate that impact-absorbing flooring is cost-saving compared to standard flooring and an additional 20% that it has a cost per QALY below a commonly used threshold value
: Using a modelling approach, we find that impact-absorbing flooring is a dominant strategy at the societal level considering that it can save resources and improve health in a vulnerable population.
PubMed ID
26498954 View in PubMed
Less detail

Modelling the cost-effectiveness of impact-absorbing flooring in Swedish residential care facilities.

https://arctichealth.org/en/permalink/ahliterature289732
Source
Eur J Public Health. 2016 06; 26(3):407-11
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
06-2016
Author
Linda Ryen
Mikael Svensson
Author Affiliation
Swedish Civil Contingencies Agency, Karlstad, Sweden linda.ryen@msb.se.
Source
Eur J Public Health. 2016 06; 26(3):407-11
Date
06-2016
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Accidental Falls - economics - prevention & control
Aged
Cost-Benefit Analysis - economics - methods - statistics & numerical data
Floors and Floorcoverings - economics - methods
Health Care Costs - statistics & numerical data
Hip Fractures - economics - prevention & control
Homes for the Aged
Humans
Markov Chains
Models, Economic
Sweden
Abstract
Fall-related injuries among the elderly, specifically hip fractures, cause significant morbidity and mortality as well as imposing a substantial financial cost on the health care system. Impact-absorbing flooring has been advocated as an effective method for preventing hip fractures resulting from falls. This study identifies the cost-effectiveness of impact-absorbing flooring compared to standard flooring in residential care facilities for the elderly in a Swedish setting.
An incremental cost-effectiveness analysis was performed comparing impact-absorbing flooring to standard flooring using a Markov decision model. A societal perspective was adopted and incremental costs were compared to incremental gains in quality-adjusted life years (QALYs). Data on costs, probability transitions and health-related quality of life measures were retrieved from the published literature and from Swedish register data. Probabilistic sensitivity analysis was performed through a Monte Carlo simulation.
The base-case analysis indicates that the impact-absorbing flooring reduces costs and increases QALYs. When allowing for uncertainty we find that 60% of the simulations indicate that impact-absorbing flooring is cost-saving compared to standard flooring and an additional 20% that it has a cost per QALY below a commonly used threshold value
: Using a modelling approach, we find that impact-absorbing flooring is a dominant strategy at the societal level considering that it can save resources and improve health in a vulnerable population.
PubMed ID
26498954 View in PubMed
Less detail