|LETTER TO EDITOR
|Year : 2018 | Volume
| Issue : 1 | Page : 16
Health care of elderly: A viewpoint in terms of economic evaluation
Suguna Anbazhagan, A Surekha
Department of Community Medicine, Mahatma Gandhi Medical College and Research Institute, Puducherry, India
|Date of Submission||17-Oct-2016|
|Date of Acceptance||22-Jun-2017|
|Date of Web Publication||08-Feb-2018|
Department of Community Medicine, Mahatma Gandhi Medical College and Research Institute, Cuddalore Main Road, Pillaiyarkuppam, Puducherry - 607 402
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Anbazhagan S, Surekha A. Health care of elderly: A viewpoint in terms of economic evaluation. Int J Prev Med 2018;9:16
One of the major factors driving the cost of healthcare upward in developing countries is aging population. Policy makers and health-care providers face the challenge of optimally allocating scarce health-care resources over competing alternatives for elderly population. Research work has been conducted in India depicting the quality-adjusted life years (QALYs) of the elderly population within the context of various therapeutic areas;, however, there is a lack of research which specifically assesses the cost-effectiveness of health care for the elderly.
While QALYs represent the most acceptable outcome for use in an economic evaluation, we also need to look at the measures which capture the benefits of health and social care interventions for the well-being of older people. Since elderly are more prone for diseases such as diabetes mellitus and hypertension, the economic burden of these diseases is also expected to be greater in such population. In such context, economic evaluation indicates that the addition of pharmaceutical care in the core health team will not increase total direct health costs, yet will improve the health outcomes. Heart failure among elderly poses such significant financial burden that efficient resource allocation for its diagnosis and treatment is a major societal and governmental challenge. Cost-effectiveness of falls prevention strategies has been done  but not in an Indian setting. It is also time to establish the cost-utility of minimal psychological interventions and also vaccinations for elderly persons.
To conclude, since economic evaluations can support policy makers for the optimal allocation of health and social care resources within limited budgets, there is a need for well-designed reliable economic evaluation research for healthcare of elderly in particular, to support decision-making on the long-term financing and planning of these programs.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Dang A, Likhar N, Alok U. Importance of economic evaluation in health care: An Indian perspective. Value Health Reg Issues 2016;9:78-83.
Altaf M, Zubedi AM, Nazneen F, Kareemulla S, Ali SA, Aleemuddin NM, et al.
Cost-effectiveness analysis of three different combinations of inhalers for severe and very severe chronic obstructive pulmonary disease patients at a tertiary care teaching hospital of South India. Perspect Clin Res 2015;6:150-8.
] [Full text]
Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: Analysis of worldwide data. Lancet 2005;365:217-23.
Obreli-Neto PR, Marusic S, Guidoni CM, Baldoni Ade O, Renovato RD, Pilger D, et al.
Economic evaluation of a pharmaceutical care program for elderly diabetic and hypertensive patients in primary health care: A 36-month randomized controlled clinical trial. J Manag Care Spec Pharm 2015;21:66-75.
Frick KD, Kung JY, Parrish JM, Narrett MJ. Evaluating the cost-effectiveness of fall prevention programs that reduce fall-related hip fractures in older adults. J Am Geriatr Soc 2010;58:136-41.
Middleton DB, Lin CJ, Smith KJ, Zimmerman RK, Nowalk MP, Roberts MS, et al
. Economic evaluation for pneumococcal vaccination of hospitalized elderly patients. Infect Control Hosp Epidemiol 2008;29:385-94.