Falls Prevention Interventions in the Medicare Population

Paul G. Shekelle, Margaret A. Maglione, John T. Chang, Walter Mojica, Sally C. Morton, Marika Booth, Elizabeth Roth, Shannon Rhodes, Shin-Yi Wu, Sydne J. Newberry, et al.

ResearchPublished 2003

Falls are a significant health problem for older adults. In the community, one in three people age 65 and older, and 50% of those 80 and older fall each year. Falls can have devastating outcomes, including decreased mobility, function, and independence, and in some cases, death. Health care for fall-related injuries is expensive. One estimate suggests that direct medical costs for fall-related injuries was $20.2 billion in 1994 and will rise to $32.4 billion by 2020. Another suggests these costs will reach $240 billion by 2040. The growth in the senior population, the desire to remain independent, and the rising costs of health care and long-term care make finding ways to prevent and reduce falls of paramount importance in promoting healthy aging.

In this report, RAND systematically reviews the evidence on interventions to prevent and reduce falls. These strategies include multifactorial falls risk assessment and management, exercise, environmental modifications, and education. This report addresses which of these interventions appear to be the most effective, the cost effectiveness of falls prevention interventions, and issues regarding how best to deliver these strategies.

Reprinted with permission from Office of Research, Development, and Information Centers for Medicare & Medicaid Services.

Topics

Document Details

  • Availability: Web-Only
  • Year: 2003
  • Pages: 184
  • Document Number: RP-1230

Originally published in: Evidence Report and Evidence-Based Recommendations: Falls Prevention Interventions in the Medicare Population.

This publication is part of the RAND reprint series. The reprint series, a product of RAND from 1992 to 2011, included previously published journal articles, book chapters, and reports that were reproduced by RAND with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see external publications.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.