Cost‐Effectiveness of a Chronic Care Model for Frail Older Adults in Primary Care: Economic Evaluation Alongside a Stepped‐Wedge Cluster‐Randomized Trial

@article{Leeuwen2015CostEffectivenessOA,
  title={Cost‐Effectiveness of a Chronic Care Model for Frail Older Adults in Primary Care: Economic Evaluation Alongside a Stepped‐Wedge Cluster‐Randomized Trial},
  author={Karen M. van Leeuwen and Judith E. Bosmans and Aaltje P. D. Jansen and Emiel O. Hoogendijk and Maaike E. Muntinga and Hein P. J. van Hout and Giel Nijpels and Henri{\"e}tte E. Horst and Maurits W. Tulder},
  journal={Journal of the American Geriatrics Society},
  year={2015},
  volume={63},
  pages={2494 - 2504}
}
To evaluate the cost‐effectiveness of the Geriatric Care Model (GCM), an integrated care model for frail older adults based on the Chronic Care Model, with that of usual care. 
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45 Citations
Highly Influential Citations
5
Background Citations
13
Methods Citations
3
Results Citations
3

45 Citations

Citation Type

Citation Type

How effective is integrated care for community-dwelling frail older people? The case of the Netherlands.
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How difficult it is to improve outcomes in community-dwelling frail older adults by means of integrated care is illustrated, as three recent intervention studies carried out as part of the Dutch National Care for the Elderly Programme are reviewed.
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TLDR
It is revealed that the majority of the reported outcomes in the studies on preventive, integrated care show no effects and effectiveness is demonstrated most often for seldom‐reported outcomes such as well‐being.
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TLDR
The CareWell primary program was not cost-effective after 12 months and widespread implementation of the program in its current form cannot be recommended.
Integrated and Person‐Centered Care for Community‐Living Older Adults: A Cost‐Effectiveness Study
TLDR
According to current standards, Embrace is not considered cost effective after 12 months, however, it could be considered worthwhile in terms of "risk profile improvements" for older adults with "Complex care needs," if society is willing to invest substantially.
Economic evaluation of a multimodal intervention in pre-frail and frail older people with diabetes mellitus: the MID-FRAIL project
TLDR
The MID-FRAIL intervention program showed to be the dominant option in comparison with usual care practice and savings to the health care system and worthwhile health gains should encourage its implementation, at least in the trial participant countries.
Effectiveness and cost-effectiveness of a people-centred care model for community-living older people versus usual care ─ A randomised controlled trial.
Integrated Care for Frail Elderly: A Qualitative Study of a Promising Approach in The Netherlands
TLDR
The CCFE in the Netherlands is an exemplary initiative to integrate care for the frailest elderly living at home and its innovative components and critical success factors are likely to be transferable to other settings when providers can take on similar roles and work closely with payers who provide integrated funding.
Integrated Care Models for Managing and Preventing Frailty: A Systematic Review for the European Joint Action on Frailty Prevention (ADVANTAGE JA)
TLDR
Current evidence supports the case for a more holistic and salutogenic response to frailty, blending a chronic care approach with education, enablement and rehabilitation to optimise function, particularly at times of a sudden deterioration in health, or when transitioning between home, hospital or care home.
Costs and effects of comprehensive geriatric assessment in primary care for older adults with high risk for hospitalisation
TLDR
The findings indicate that CGA in primary care can reduce the need for hospital care days in a high-risk population of older adults.
Cost-effectiveness of nurse-led multifactorial care to prevent or postpone new disabilities in community-living older people: Results of a cluster randomized trial
TLDR
The current intervention was not cost-effective compared to usual care to prevent or postpone new disabilities over a one-year period and implementation of the evaluated multifactorial nurse-led care model is not to be recommended.
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