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Modelling the cost-effectiveness of impact-absorbing flooring in Swedish residential care facilities
Swedish Civil Contingencies Agency, Karlstad, Sweden.
Örebro University, Örebro University School of Business. Health Metrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0003-1113-7478
2016 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 26, no 3, p. 407-411Article in journal (Refereed) Published
Abstract [en]

Objective: Fall-related injuries among the elderly, specifically hip fractures, cause significant morbidity and mortality as well as imposing a substantial financial cost on the health care system. Impact-absorbing flooring has been advocated as an effective method for preventing hip fractures resulting from falls. This study identifies the cost-effectiveness of impact-absorbing flooring compared to standard flooring in residential care facilities for the elderly in a Swedish setting.

Method: An incremental cost-effectiveness analysis was performed comparing impact-absorbing flooring to standard flooring using a Markov decision model. A societal perspective was adopted and incremental costs were compared to incremental gains in quality-adjusted life years (QALYs). Data on costs, probability transitions and health-related quality of life measures were retrieved from the published literature and from Swedish register data. Probabilistic sensitivity analysis was performed through a Monte Carlo simulation.

Results: The base-case analysis indicates that the impact-absorbing flooring reduces costs and increases QALYs. When allowing for uncertainty we find that 60% of the simulations indicate that impact-absorbing flooring is cost-saving compared to standard flooring and an additional 20% that it has a cost per QALY below a commonly used threshold value

Conclusions: Using a modelling approach, we find that impact-absorbing flooring is a dominant strategy at the societal level considering that it can save resources and improve health in a vulnerable population.

Place, publisher, year, edition, pages
Oxford, United Kingdom: Oxford University Press, 2016. Vol. 26, no 3, p. 407-411
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-50601DOI: 10.1093/eurpub/ckv197ISI: 000377470800013PubMedID: 26498954Scopus ID: 2-s2.0-84973359526OAI: oai:DiVA.org:oru-50601DiVA, id: diva2:934297
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareSwedish Civil Contingencies AgencyAvailable from: 2016-06-08 Created: 2016-06-08 Last updated: 2017-11-30Bibliographically approved

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