Author/Authors :
Alipour, V Health Management and Economics Research Center - Iran University of Medical Sciences - Tehran, Iran , Azami-Aghdash, Saber Tabriz Health Services Management Research Center - Health Management and Safety Promotion Research Institute - Tabriz University of Medical Sciences - Tabriz, Iran , Rezapour, A Health Management and Economics Research Center - Iran University of Medical Sciences - Tehran, Iran , Derakhshani, Naser Health Management and Economics Research Center - Iran University of Medical Sciences - Tehran, Iran , Ghiasi, Akbar Health Administration HEB School of Business & Administration - University of the Incarnate Word - Texas, USA , Yusefzadeh, Neghar Health Management and Economics Research Center - Iran University of Medical Sciences - Tehran, Iran , Taghizade, S Department of Health Management and Economics - School of Public Health - Tehran University of Medical Sciences - Tehran, Iran , Amuzadeh, Sahar Babol University of Medical Sciences - Babol, Iran
Abstract :
To review the cost-effectiveness of multifactorial interventions to prevent falls in elderly people.
Methods: In this systematic review, the databases including PubMed via MEDLINE, Web of Science, Embase,
Scopus, Cochrane Library and Google Scholar (from 1st January 2000 to 30th February) were used. All prereviewed
articles related to cost-effectiveness analysis of multifactorial interventions to prevent falls in elderly
were included in this paper and congresses abstracts were excluded. Descriptive statistics were used for
quantitative data and content-analysis method to analyze qualitative data.
Results: Out of the 456 articles, 19 were finally included in the study. Eighteen articles were conducted in
High-Income Countries (HICs) and 16 were at the community level. Medical visits consultation and education
were the most common interventions. Most studies were cost-effectiveness and using the Randomized Control
Trial (RCT) methods. A fall of prevention costs ranged from $ 272 to $ 987. Incremental Cost-Effectiveness
Ratio (ICER) interventions also ranged from the US $ 120,667 to the US $ 4280.9.
Conclusion: The results show that despite the high effectiveness of multifactorial interventions to prevent
elderly falls, the cost of the interventions are high and they are not very cost-effective. It would be better to
design and implement multifactorial interventions with low cost and high effectiveness that are appropriate for
each country
Keywords :
Population , Intervention , Cost effectiveness , Falls , Elderly
