Cost-utility analysis of a disability prevention program for community-dwelling older adults with mild disability in the urban area of Tokyo, Japan
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- Ikeda Takaaki
- Tanpopo Support Clinic of home health care, Musashino, Japan
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- Yanagawa Susumu
- Tsubasa Home-visit Rehabilitation and Home Nursing Center, Mitaka, Japan
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- Murakami Kenichi
- Tsubasa Rehabilitation Center, Chofu, Japan
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- Inoue Toshiyuki
- Tanpopo Support Clinic of home health care, Musashino, Japan
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- Tsurumi Takamasa
- Shonan Medical University, Yokohama, Japan
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説明
<p>Background: The cost-effectiveness of intervention programs associated with different population characteristics remains unclear, especially in mildly disabled older populations. The purpose of this study was to conduct a cost-utility analysis of a disability prevention program for older adults with mild disabilities in the urban area of Tokyo, Japan from a long-term care system perspective.</p><p>Method: In a single blinded, before‒after trial, we recruited 128 mildly disabled participants (age, ≥65 years) who had enrolled in a center-based preventive program under the Japanese long-term care insurance system in Tokyo. All participants attended training sessions (1‒2 session(s)/week; 75 minutes/session), comprising both resistance and aerobic training that were guided and supervised by physiotherapists. A cost-utility analysis using QALY based on EQ-5D-5L and EQ-VAS were performed. Long-term care costs between baseline and follow-up were assessed from a long-term care system perspective. Intervention and nursing-care costs were calculated according to the Japanese long-term care insurance system rates. A cost-effectiveness accessibility curve was constructed, and a probability sensitivity analysis controlling for the influence of the mode of QALY calculation was performed.</p><p>Results: 74 participants were included in the analysis. The base costs of total mean ICER (EQ-5D-5L) and ICER (EQ-VAS) were 1,144,020.0 ± 716,568.1 and 1,149,829.1 ± 652,428.8 yen, respectively. The probability of reaching the accepted cost-effectiveness threshold of JPY/5,000,000 per QALY is significantly higher for all simulations.</p><p>Conclusion: This study demonstrated that a center-based disability preventive program is likely to be cost-effective. Future research should include larger sample sizes, different participant characteristics, such as moderately disabled and frail participants, and different settings, such as home- or center-based care.</p>
収録刊行物
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- 日本保健福祉学会誌
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日本保健福祉学会誌 23 (2), 3-12, 2017
日本保健福祉学会
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詳細情報 詳細情報について
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- CRID
- 1390282679418257792
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- NII論文ID
- 130005858883
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- NII書誌ID
- AN1052650X
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- ISSN
- 24240036
- 13408194
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- NDL書誌ID
- 028142591
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDLサーチ
- CiNii Articles
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