Article ID: 11734
Purpose: The aim of this study is to reveal the cost-effectiveness of exercise programs designed for fall prevention among healthy younger old community-dwelling adults in Japan.
Methods: The analysis was conducted on behalf of public insurers for health and long term care services. Quality-adjusted life years (QALY) and expenses for health services and long-term care services were described in terms of “effectiveness” and “cost,” respectively. The assumed subjects were healthy community-dwelling females (n=1,000) and males (n=1,000) aged 65 years old. The incremental cost-effective ratio (ICER) of the program was analyzed and simulated using a 10-year cycle Markov model (base case). The threshold for assessing cost-effectiveness was set at less than 5 million Japanese yen/QALY.
Results: The ICER for the female group was 1,550,900 Japanese yen/QALY, and 2,277,086 Japanese yen/QALY for the male group.
Conclusion: An exercise program for fall prevention among healthy younger old community-dwelling adults could be cost-effective in Japan.
