Cost effectiveness of an intervention focused on reducing bathing disability

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Cost effectiveness of an intervention focused on reducing bathing disability. / Zingmark, Magnus; Nilsson, Ingeborg; Norström, Fredrik; Sahlén, Klas Göran; Lindholm, Lars.

I: European Journal of Ageing, Vol. 14, 09.2017, s. 233-241.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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Zingmark, Magnus ; Nilsson, Ingeborg ; Norström, Fredrik ; Sahlén, Klas Göran ; Lindholm, Lars. / Cost effectiveness of an intervention focused on reducing bathing disability. I: European Journal of Ageing. 2017 ; Vol. 14. s. 233-241.

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TY - JOUR

T1 - Cost effectiveness of an intervention focused on reducing bathing disability

AU - Zingmark, Magnus

AU - Nilsson, Ingeborg

AU - Norström, Fredrik

AU - Sahlén, Klas Göran

AU - Lindholm, Lars

PY - 2017/9

Y1 - 2017/9

N2 - The onset of bathing disability among older people is critical for a decline in functioning and has implications for both the individuals' quality of life and societal costs. The aim of this study was to evaluate long-term cost effectiveness of an intervention targeting bathing disability among older people. For hypothetical cohorts of community-dwelling older people with bathing disability, transitions between states of dependency and death were modelled over 8 years including societal costs. A five-state Markov model based on states of dependency was used to evaluate Quality-adjusted life years (QALYs) and costs from a societal perspective. An intervention group was compared with a no intervention control group. The intervention focused on promoting safe and independent performance of bathing-related tasks. The intervention effect, based on previously published trials, was applied in the model as a 1.4 increased probability of recovery during the first year. Over the full follow-up period, the intervention resulted in QALY gains and reduced societal cost. After 8 years, the intervention resulted in 0.052 QALYs gained and reduced societal costs by €2410 per person. In comparison to the intervention cost, the intervention effect was a more important factor for the magnitude of QALY gains and long-term societal costs. The intervention cost had only minor impact on societal costs. The conclusion was that an intervention targeting bathing disability among older people presents a cost-effective use of resources and leads to both QALY gains and reduced societal costs over 8 years.

AB - The onset of bathing disability among older people is critical for a decline in functioning and has implications for both the individuals' quality of life and societal costs. The aim of this study was to evaluate long-term cost effectiveness of an intervention targeting bathing disability among older people. For hypothetical cohorts of community-dwelling older people with bathing disability, transitions between states of dependency and death were modelled over 8 years including societal costs. A five-state Markov model based on states of dependency was used to evaluate Quality-adjusted life years (QALYs) and costs from a societal perspective. An intervention group was compared with a no intervention control group. The intervention focused on promoting safe and independent performance of bathing-related tasks. The intervention effect, based on previously published trials, was applied in the model as a 1.4 increased probability of recovery during the first year. Over the full follow-up period, the intervention resulted in QALY gains and reduced societal cost. After 8 years, the intervention resulted in 0.052 QALYs gained and reduced societal costs by €2410 per person. In comparison to the intervention cost, the intervention effect was a more important factor for the magnitude of QALY gains and long-term societal costs. The intervention cost had only minor impact on societal costs. The conclusion was that an intervention targeting bathing disability among older people presents a cost-effective use of resources and leads to both QALY gains and reduced societal costs over 8 years.

U2 - 10.1007/s10433-016-0404-1

DO - 10.1007/s10433-016-0404-1

M3 - Article

C2 - 28936134

VL - 14

SP - 233

EP - 241

JO - European Journal of Ageing

JF - European Journal of Ageing

SN - 1613-9380

ER -