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Title

The Costs of Fall-Related Injuries among Older Adults: Annual Per-Faller, Service Component, and Patient Out-of-Pocket Costs (Health Services Research)

Publication Topics

Access to Health Care; Use of Health Services; Barriers to/Disparities in Health Care; Elderly; Adult; Low-Income; Cost and Utilization Studies; Costs of Care for the Uninsured; Health Care Economics; Costs of Specific Medical and Public Health Interventions; Risk-Adjusted Outcomes

Publication Type

Publication Date

2016-09-01T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=648&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=648&RootFolder=*">Geoffrey J. Hoffman</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=324&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=324&RootFolder=*">Ron D. Hays</a>

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<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=596&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=596&RootFolder=*">Martin Shapiro</a>

Author 4

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=163&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=163&RootFolder=*">Steven P. Wallace, PhD</a>

Author 5

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=287&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=287&RootFolder=*">Susan L. Ettner, PhD</a>

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Abstract

Authors used inpatient/outpatient ICD-9 diagnostic codes for fractures, trauma, dislocations, and by e-codes to identify fall-related injuries (FRI) for 5,497 older Medicare beneficiaries, using 2007–2009 Medicare claims and 2008 Health and Retirement Study (HRS) data. A pre-post comparison group design was used to estimate the differential change in pre-post expenditures for the FRI relative to the non-FRI cohort (FRI expenditures). 

Authors found estimated FRI expenditures were $9,389. Inpatient, physician/outpatient, skilled nursing facility, and home health comprised 31 percent, 18 percent, 39 percent, and 12 percent of the total, respectively. Out-of-pocket costs were $1,363. Expenditures for FRIs initially treated in inpatient/ED/outpatient settings were $21,424/$6,142/$8,622 respectively. The FRI cohort had a 64-percent increased risk of persistently high expenditures. Total Medicare expenditures were $13 billion. Authors conclude cost-effectiveness of multifactorial falls prevention programs should be assessed using these expenditure estimates.

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Article 1

Journal Article: The Costs of Fall-Related Injuries among Older Adults: Annual Per-Faller, Service Component, and Patient Out-of-Pocket Costs

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Press Release

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Health Disparities Program: Elder Health

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Created at 10/5/2016 9:30 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 3/16/2017 10:26 AM by i:0#.f|uclachissqlmembershipprovider|gwendolyn