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  • A break-even analysis of a community rehabilitation falls prevention service

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    58837_1.pdf (211.5Kb)
    Author(s)
    Comans, Tracy
    Brauer, Sandy
    Haines, Terry
    Griffith University Author(s)
    Comans, Tracy
    Year published
    2009
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    Abstract
    OBJECTIVE: To identify and compare the minimum number of clients that a multidisciplinary falls prevention service delivered through domiciliary or centre-based care needs to treat to allow the service to reach a 'break-even' point. METHOD: A break-even analysis was undertaken for each of two models of care for a multidisciplinary community rehabilitation falls prevention service. The two models comprised either a centre-based group exercise and education program or a similar program delivered individually in the client's home. The service consisted of a physiotherapist, occupational therapist and therapy assistant. The ...
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    OBJECTIVE: To identify and compare the minimum number of clients that a multidisciplinary falls prevention service delivered through domiciliary or centre-based care needs to treat to allow the service to reach a 'break-even' point. METHOD: A break-even analysis was undertaken for each of two models of care for a multidisciplinary community rehabilitation falls prevention service. The two models comprised either a centre-based group exercise and education program or a similar program delivered individually in the client's home. The service consisted of a physiotherapist, occupational therapist and therapy assistant. The participants were adults aged over 65 years who had experienced previous falls. Costs were based on the actual cost of running a community rehabilitation team located in Brisbane. Benefits were obtained by estimating the savings gained to society from the number of falls prevented by the program on the basis of the falls reduction rates obtained in similar multidisciplinary programs. RESULTS: It is estimated that a multi-disciplinary community falls prevention team would need to see 57 clients per year to make the service break-even using a centre-based model of care and 78 clients for a domiciliary-based model. CONCLUSIONS AND IMPLICATIONS: The service this study was based on has the capability to see around 300 clients per year in a centre-based service or 200-250 clients per year in a home-based service. Based on the best available estimates of costs of falls, multidisciplinary falls prevention teams in the community targeting people at high risk of falls are worthwhile funding from a societal viewpoint.
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    Journal Title
    Australian and New Zealand Journal of Public Health
    Volume
    33
    Issue
    3
    DOI
    https://doi.org/10.1111/j.1753-6405.2009.00382.x
    Copyright Statement
    © 2009 Public Health Association of Australia. This is a preprint of an article published in the Australian and New Zealand Journal of Public Health. Reproduced in accordance with the copyright policy of the publisher. The definitive version is available at http://onlinelibrary.wiley.com/
    Subject
    Health and community services
    Applied economics
    Policy and administration
    Publication URI
    http://hdl.handle.net/10072/33905
    Collection
    • Journal articles

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