The Effects of Preventive Home Visits on Older People's Use of Health Care and Social Services and Related Costs

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Liimatta , H A , Lampela , P , Kautiainen , H , Laitinen-Parkkonen , P & Pitkälä , K H 2020 , ' The Effects of Preventive Home Visits on Older People's Use of Health Care and Social Services and Related Costs ' , Journals of Gerontology. Series A: Biological Sciences and Medical Sciences , vol. 75 , no. 8 , pp. 1586-1593 . https://doi.org/10.1093/gerona/glz139

Title: The Effects of Preventive Home Visits on Older People's Use of Health Care and Social Services and Related Costs
Author: Liimatta, Heini A; Lampela, Pekka; Kautiainen, Hannu; Laitinen-Parkkonen, Pirjo; Pitkälä, Kaisu H.
Contributor organization: University of Helsinki
Department of General Practice and Primary Health Care
Teachers' Academy
HUS Helsinki and Uusimaa Hospital District
Date: 2020-08
Language: eng
Number of pages: 8
Belongs to series: Journals of Gerontology. Series A: Biological Sciences and Medical Sciences
ISSN: 1079-5006
DOI: https://doi.org/10.1093/gerona/glz139
URI: http://hdl.handle.net/10138/331934
Abstract: Background: We use data from a randomized controlled trial on preventive home visits exploring effectiveness on health-related quality of life. In this article, we examine the intervention's cost-effectiveness and effects on quality-adjusted life years in older home-dwelling adults. Methods: There were 422 independently home-dwelling participants in the randomized, controlled trial, all aged more than 75 years, with equal numbers in the control and intervention groups. The intervention took place in a municipality in Finland and consisted of multiprofessional preventive home visits. We gathered the data on health care and social services use from central registers and medical records during 1 year before the intervention and 2 years after the intervention. We analyzed the total health care and social services use and costs per person-years and the difference in change in health-related quality of life as measured using the 15D measure. We calculated quality-adjusted life years and incremental cost-effectiveness ratios. Results: There was no significant difference in baseline use of services or in the total use and costs of health care and social services during the 2-year follow-up between the two groups. In the intervention group, health-related quality of life declined significantly more slowly compared with the control group (-0.015), but there was no significant difference in quality-adjusted life years gained between the groups. The cost-effectiveness plane showed 60% of incremental cost-effectiveness ratios lying in the dominant quadrant, representing additional effects with lower costs. Conclusions: This multiprofessional preventive home visit intervention appears to have positive effects on health-related quality of life without accruing additional costs.
Subject: 3141 Health care science
Cost effectiveness
Geriatric assessment
Health services
Preventative health care
Primary care
Preventative health care
Health services
Geriatric assessment
Primary care
Cost effectiveness
COMPREHENSIVE GERIATRIC ASSESSMENT
QUALITY-OF-LIFE
INTERVENTION
TRIAL
POPULATION
DISABILITY
MORTALITY
ACCURACY
PROGRAM
RISK
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: acceptedVersion


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