Modeled cost-effectiveness of the experience corps baltimore based on a pilot randomized trial TeX Export

@article{citeulike:4464902, abstract = {Abstract\ \ 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.}, author = {Frick, Kevin and Carlson, Michelle and Glass, Thomas and Mcgill, Sylvia and Rebok, George and Simpson, Crystal and Fried, Linda}, citeulike-article-id = {4464902}, citeulike-linkout-0 = {http://dx.doi.org/10.1093/jurban/jth097}, citeulike-linkout-1 = {http://www.springerlink.com/content/q75183058542713j}, day = {1}, doi = {10.1093/jurban/jth097}, journal = {Journal of Urban Health}, keywords = {corps, cost-effectiveness, experience, of, the}, month = {March}, number = {1}, pages = {106--117}, posted-at = {2009-05-05 18:47:05}, priority = {0}, title = {Modeled cost-effectiveness of the experience corps baltimore based on a pilot randomized trial}, url = {http://dx.doi.org/10.1093/jurban/jth097}, volume = {81}, year = {2004} }

TY - JOUR ID - citeulike:4464902 L3 - citeulike-article-id:4464902 N2 - Abstract  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. IS - 1 JF - Journal of Urban Health EP - 117 TI - Modeled cost-effectiveness of the experience corps baltimore based on a pilot randomized trial VL - 81 SP - 106 KW - corps KW - cost-effectiveness KW - experience KW - of KW - the AU - Frick, Kevin AU - Carlson, Michelle AU - Glass, Thomas AU - Mcgill, Sylvia AU - Rebok, George AU - Simpson, Crystal AU - Fried, Linda PY - 2004/03/01/ UR - http://dx.doi.org/10.1093/jurban/jth097 ER -