Abstract：
INTRODUCTION:Fall-related injuries and health risks associated with reduced mobility or physical inactivity account for significant costs to the U.S. healthcare system. The widely disseminated lay-led A Matter of Balance (MOB) program aims to help older adults reduce their risk of falling and associated activity limitations. This study examined effects of MOB participation on health service utilization and costs for Medicare beneficiaries, as a part of a larger effort to understand the value of community-based prevention and wellness programs for Medicare. METHODS:A controlled retrospective cohort study was conducted in 2012-2013, using 2007-2011 MOB program data and 2006-2013 Medicare data. It investigated program effects on falls and fall-related fractures, and health service utilization and costs (standardized to 2012 dollars), of 6,136 Medicare beneficiaries enrolled in MOB from 2007 through 2011. A difference-in-differences analysis was employed to compare outcomes of MOB participants with matched controls. RESULTS:MOB participation was associated with total medical cost savings of $938 per person (95% CI=$379, $1,498) at 1 year. Savings per person amounted to $517 (95% CI=$265, $769) for unplanned hospitalizations; $81 for home health care (95% CI=$20, $141); and $234 (95% CI=$55, $413) for skilled nursing facility care. Changes in the incidence of falls or fall-related fractures were not detected, suggesting that cost savings accrue through other mechanisms. CONCLUSIONS:This study suggests that MOB and similar prevention programs have the potential to reduce Medicare costs. Further research accounting for program delivery costs would help inform the development of Medicare-covered preventive benefits.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Ghimire E,Colligan EM,Howell B,Perlroth D,Marrufo G,Rusev E,Packard Mdoi
10.1016/j.amepre.2015.07.004subject
Has Abstractpub_date
2015-12-01 00:00:00pages
e109-16issue
6eissn
0749-3797issn
1873-2607pii
S0749-3797(15)00358-Xjournal_volume
49pub_type
杂志文章abstract：INTRODUCTION:Geographic and racial/ethnic variability in prostate cancer incidence rates and stage distribution may be partly attributed to differences in screening and early detection. METHODS:Using California Cancer Registry data we aimed to characterize variability in prostate cancer rates statewide and to examine ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(97)00014-7
更新日期：1998-02-01 00:00:00
abstract：INTRODUCTION:Muscle strength preservation may play an important role in protecting against cardiometabolic diseases, functional decline, musculoskeletal deterioration, and early all-cause mortality. However, sex-specific strength growth charts and curves using data from a U.S.-representative sample and clinically feasi...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
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journal_title：American journal of preventive medicine
pub_type： 杂志文章,多中心研究
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abstract：:Climate change could significantly affect vectorborne disease in humans. Temperature, precipitation, humidity, and other climatic factors are known to affect the reproduction, development, behavior, and population dynamics of the arthropod vectors of these diseases. Climate also can affect the development of pathogens...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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更新日期：1989-07-01 00:00:00
abstract：BACKGROUND:Research is needed to understand parental factors influencing human papillomavirus (HPV) vaccination, particularly in groups with a higher burden of cervical cancer. PURPOSE:To determine correlates of HPV vaccination among a sample of low-income parents of age-eligible daughters (aged 9-17 years) who called...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：2019-11-01 00:00:00
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更新日期：2015-03-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1994-09-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：
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