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Modeled cost-effectiveness of the Experience Corps Baltimore based on a pilot randomized trial / FRICK, Kevin D..
Journal of urban health, 2004, vol. 81 (1 (March)), p.106-117.

http://www.experiencecorps.org/news/releases/pdfs/Frick106.pdf (20-04-2004)
Droits d'auteur : Cette oeuvre est protégée par un droit d'auteur. Elle ne peut être reproduite qu'à des fins d'études privées ou de recherche et seulement si la source est mentionnée.

Mots-clés principaux
:
Bénévolat
Relations intergénérationnelles
États-Unis
Personne âgée
Santé
Participation sociale
Rendement
Coûts
Étude clinique randomisée


Résumé :

The Experience Corps® program was designed to harness the social capital
of an aging society to improve outcomes for public elementary schools. The objectives
of this article are (1) to model the cost-effectiveness of the Experience Corps Baltimore
using data from a pilot randomized trial, including costs, older adults' health status,
and quality of life and cost data from the Medical Expenditure Panel Survey, and (2) to
describe the relationship between children experiencing increased expected lifetime
earnings through improved educational attainment resulting from exposure to the
Experience Corps Baltimore volunteers and the program's costs and cost-effectiveness.
On average, each quality adjusted life year (QALY) gained by older adults in Experience
Corps Baltimore costs $205,000. The lower bound of the 95% confidence interval for
the cost-effectiveness is $65,000/QALY. The upper bound is undefined as 15% of the
simulations indicated no QALY improvements. If 0.3% of students exposed to the
Experience Corps Baltimore changed from not graduating to graduating, the increased
lifetime earnings would make the incremental cost-effectiveness ratio $49,000/QALY.
If an additional 0.1% changed to graduating from high school, the program would be
cost-saving. Using conservative modeling assumptions and excluding benefits to teachers,
principals, and the surrounding community, the Experience Corps Baltimore appears
expensive for the older adults' health improvements, but requires only small long-term
benefits to the target children to make the program cost-effective or cost-saving.

Langue : Anglais
Doc n° : 17019
NumRec : 1701903
 

       

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