ArticleEuropean journal of ageing2019
Modelling long-term cost-effectiveness of health promotion for community-dwelling older people.
Article in European journal of ageing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Psychological and educational interventions for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2024Pooled it
- Key Areas of Preventive Home Visits and Their Importance for Older Adults: A Scoping Review.Scandinavian journal of caring sciences · 2025Article
- Between principles and pragmatism - primary healthcare and social services professionals' experiences and perceptions of self-care for older adults with home care: a qualitative study.Scandinavian journal of primary health care · 2025Article
- Economic effects of healthy ageing: functional limitation, forgone wages, and medical and long-term care costs.Health economics review · 2023Article
- Stakeholders' Perspective on Working Towards a Healthy Ageing Society: Evidence from a Rapidly Ageing Context.Journal of population ageing · 2023Article
- Reference values of gait characteristics in community-dwelling older persons with different physical functional levels.BMC geriatrics · 2022Article
- Health Centres 75+ as a New Model to Improve Care for Older People in Poland.International journal of environmental research and public health · 2022Article
- [The "Hamburg home visit for older citizens" : Development, execution and acceptance in 4716 older people in 15 months].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Give Older Persons a Voice in the Society-By Using Information Compiled during Preventive Home Visits on a Societal Level.International journal of environmental research and public health · 2021Article
- Substitute services: a barrier to controlling long-term care expenditures.European journal of ageing · 2021Article
- Patient Involvement During a Pathway of Home-Based Reablement for Older Persons: A Longitudinal Single-Case Study.Journal of multidisciplinary healthcare · 2021Article
- Mortality-and Health-Related Factors in a Community-Dwelling of Oldest-Older Adults at the Age of 90: A 10-Year Follow-Up Study.International journal of environmental research and public health · 2020Article
- Health status, care needs, and assessment for beneficiaries with or without dementia in a public long-term care insurance pilot in Guangzhou, China.BMC health services research · 2020Article
- Health-promoting and preventive interventions for community-dwelling older people published from inception to 2019: a scoping review to guide decision making in a Swedish municipality context.Archives of public health = Archives belges de sante publique · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.