A person-centred ehealth intervention for fall prevention in nursing homes lacking geriatric expertise: cost-effectiveness analysis within a randomised controlled trial.
Background Falls among older adults in nursing homes are frequent and have serious consequences. They represent a major public health issue with significant costs. Objective To investigate the cost-effectiveness of a gerontological telemedicine programme in preventing falls among residents of nursin...
| Publicado en: | Age & Ageing Vol. 55; no. 3; pp. 1 - 11 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Mar2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192797122&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192797122 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Mar2026 vid: 55 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192797122 10.1093/ageing/afag053 ppf: 1 ppct: 10 formats: tig: atl: A person-centred ehealth intervention for fall prevention in nursing homes lacking geriatric expertise: cost-effectiveness analysis within a randomised controlled trial. aug: au: Gayot, Caroline Cardinaud, Noëlle Zarca, Kévin Zaleski, Isabelle Laubarie-Mouret, Cécile Tchalla, Achille Edem affil: VieSanté Laboratory- UR 24134 (Aging, Frailty, Prevention, e-Health), Omegahealth Institut, Limoges University, F-87025, FranceClinical Research and Innovation Unit, Limoges University Hospital Center, F-87042, FranceGeriatric Medicine Department, Limoges University Hospital Center, F-87042, France Geriatric Medicine Department, Limoges University Hospital Center, F-87042, France AP-HP - URC Eco, Île-de-France, Paris F-75010, France su: Health services accessibility Hospital care Cost benefit analysis Nursing care facilities Patient-centered care Rural health services Senior housing Rural conditions Activities of daily living Old age Medically underserved areas Secondary analysis Statistical significance Research funding Frail elderly Polypharmacy Gait in humans Hospital emergency services Analysis of covariance Descriptive statistics Telemedicine Medical consultation Geriatric assessment Data analysis software Accidental falls Comorbidity Postural balance sug: subj: Health services accessibility Hospital care Cost benefit analysis Nursing care facilities Patient-centered care Rural health services Senior housing Rural conditions Activities of daily living Old age Community care facilities for the elderly Nursing Care Facilities (Skilled Nursing Facilities) Residential Mental Health and Substance Abuse Facilities Assisted Living Facilities for the Elderly Medically underserved areas Secondary analysis Statistical significance Research funding Frail elderly Polypharmacy Gait in humans Hospital emergency services Analysis of covariance Descriptive statistics Telemedicine Medical consultation Geriatric assessment Data analysis software Accidental falls Comorbidity Postural balance keyword: aging copyrightHolder:British Geriatrics Society copyrightYear:2026 cost effectiveness cost-effectiveness analysis ehealth fall prevention falls geriatrics https://dx.doi.org/10.1093/ageing/afag053 immunoglobulins incremental cost-effectiveness ratio inLanguage:en internship and residency medical residencies nursing home nursing homes older adult older people prevention publisher:Oxford University Press randomization sameAs:https://pubmed.ncbi.nlm.nih.gov/41860310/ telehealth telemedicine aging copyrightHolder:British Geriatrics Society copyrightYear:2026 cost effectiveness cost-effectiveness analysis ehealth fall prevention falls geriatrics https://dx.doi.org/10.1093/ageing/afag053 immunoglobulins incremental cost-effectiveness ratio inLanguage:en internship and residency medical residencies nursing home nursing homes older adult older people prevention publisher:Oxford University Press randomization sameAs:https://pubmed.ncbi.nlm.nih.gov/41860310/ telehealth telemedicine ab: Background Falls among older adults in nursing homes are frequent and have serious consequences. They represent a major public health issue with significant costs. Objective To investigate the cost-effectiveness of a gerontological telemedicine programme in preventing falls among residents of nursing homes located in areas with limited access to primary care ('medical deserts'). Design GERONTACCESS was a prospective, longitudinal, randomised study. In this secondary analysis of that trial, 426 residents aged ≥60 years living in a nursing home located in a medical desert were included in an intervention group (IG) (participants in a preventive gerontological telemedicine programme) or a control group (CG) (those who received usual care). Data were collected between July 2016 and January 2018. Main outcome measures The study outcomes were the proportion of patients who experienced falls during the 1-year study period. The Incremental Cost Effectiveness Ratio was calculated. Data on each fall were collected every month. Direct costs were assessed following guidelines from the French National Authority for Health. Results Over 1 year, 1086 falls were recorded, with no significant difference in total falls between the two groups. However, 980 non-serious falls (those that did not require medical assistance) were observed, involving 107 residents in the IG versus 134 residents in the CG (P = .006). Significantly fewer residents in the IG experienced at least one fall compared to the CG (P = .02). The cost analysis indicated that each fall avoided in the IG saved ~US$4272. Conclusions The gerontological telemedicine programme, is a cost-effective way to reduce the number of non-serious falls among residents. It maybe also delayed the timing of the first fall. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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