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Economic analysis of a community-based falls prevention program
Abstract
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 dollars 781,829. Both methods identified clear overall net benefits ranging from A dollars 5.4 million for avoided hospitalizations alone to A dollars 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 u…
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Falls prevention interventions can show a CBR of 20.6 returned within 18 months.
“Interventions aimed at reducing rates of falls are able to show one of the swiftest returns on investment of any of the public health interventions identified within this study, with a CBR of 20.6 returned within 18 months.41”
From Return on investment of public health interventions: a systematic review (2017) · cites this paper as [41]
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Cited by
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Return on investment of public health interventions: a systematic review
Masters, R., Anwar, E., Collins, B., Cookson, R., & Capewell, S. (2017) · Journal of Epidemiology and Community Health · doi:10.1136/jech-2016-208141 · Cited by 480
“41 One might reasonably expect equally rapid returns for preventive interventions such as immunisation, health-care, smoking cessation and nutrition.”
BackgroundDavis, J. C., Robertson, M. C., Ashe, M. C., Liu-Ambrose, T., Khan, K. M., & Marra, C. A. (2010) · British Journal of Sports Medicine · doi:10.1136/bjsm.2008.060988 · Cited by 198
Metadata
- Authors
- Beard, J., Rowell, D., Scott, D., van Beurden, E., Barnett, L., Hughes, K., & Newman, B.
- Affiliations
- The University of Sydney (AU)
- Southern Cross University (AU)
- Queensland University of Technology (AU)
- Corresponding author
- Beard, J.
- Venue
- Public Health
- Publisher
- Elsevier BV
- Published
- 2006-08
- Volume
- 120
- Issue
- 8
- Pages
- 742-751
- ISSN
- 0033-3506 (ISSN-L)
- OpenAlex
- W1556064246
- Cited by
- 46
- References
- 0
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 7 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 1 · 2015: 1 · 2012: 2
- FWCI
- 9.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Public Health (publishedVersion)
- PubMed (publishedVersion)
- Centre for Health Research; Faculty of Health; Institute of Health and Biomedical Innovation
- Funders
- National Health and Medical Research Council
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Keywords
- fall prevention, older adults, community-based intervention, cost-benefit analysis, cost-effectiveness, hospitalization, New South Wales
- MeSH terms
- Accidental Falls, Aged, Community Health Services, Cost-Benefit Analysis, Health Promotion, Hospitalization, Humans
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