CDC: Tai Chi Highly Cost Effective for Preventing Falls
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March 20, 2015 -
One out of three persons aged
65 and older falls annually and 20% to 30% of falls result in injury. In
February, 2015, Centers for Disease Control and Prevention (CDC) released a
cost-benefit analysis that identified community-based fall interventions that
were feasible, effective, and provided a positive return on investment (ROI).
A third-party payer perspective was used to determine
the costs and benefits of three effective fall interventions. Intervention
effectiveness was based on randomized controlled trial results. National data
were used to estimate the average annual benefits from averting the direct
medical costs of a fall. The net benefit and ROI were estimated for each of the
For the Otago Exercise Program delivered to persons aged 65
and older, the net benefit was $121.85 per participant and the ROI was 36% for
each dollar invested. For Otago delivered to persons aged 80 and older, the net
benefit was $429.18 and the ROI was 127%.
Chi: Moving for Better Balance had a net benefit of $529.86
and an ROI of 509%.
Stepping On had a net benefit of $134.37 and an ROI of 64%.
All three fall interventions provided positive net
benefits. The ROIs showed that the benefits not only covered the implementation
costs but also exceeded the expected direct program delivery costs. These
results can help health care funders and other community organizations select
appropriate and effective fall interventions that also can provide positive
returns on investment.
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