title: Can aging in place be cost effective? A systematic review.
abstract: OBJECTIVE
  To systematically review cost, cost-minimization and cost-effectiveness studies for assisted living technologies (ALTs) that specifically enable older people to 'age in place' and highlight what further research is needed to inform decisions regarding aging in place.
  
  
  METHODS
  People aged 65+ and their live-in carers (where applicable), using an ALT to age in place at home opposed to a community-dwelling arrangement.
  
  
  METHODS
  Studies were identified using a predefined search strategy on two key economic and cost evaluation databases NHS EED, HEED. Studies were assessed using methods recommended by the Campbell and Cochrane Economic Methods Group and presented in a narrative synthesis style.
  
  
  RESULTS
  Eight eligible studies were identified from North America spread over a diverse geographical range. The majority of studies reported the ALT intervention group as having lower resource use costs than the control group; though the low methodological quality and heterogeneity of the individual costs and outcomes reported across studies must be considered.
  
  
  CONCLUSIONS
  The studies suggest that in some cases ALTs may reduce costs, though little data were identified and what there were was of poor quality. Methods to capture quality of life gains were not used, therefore potential effects on health and wellbeing may be missed. Further research is required using newer developments such as the capabilities approach. High quality studies assessing the cost-effectiveness of ALTs for ageing in place are required before robust conclusion on their use can be drawn.
authors: Institute of Health & Society, Newcastle University, Newcastle upon Tyne, United Kingdom.
authors: Erin M
authors: EM
authors: Graybill
authors: Institute of Health & Society, Newcastle University, Newcastle upon Tyne, United Kingdom.
authors: Peter
authors: P
authors: McMeekin
authors: Business School, Newcastle University, Newcastle upon Tyne, United Kingdom.
authors: John
authors: J
authors: Wildman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D040561:Assisted Living Facilities; D017028:Caregivers / Q000191:economics*; D003362:Cost-Benefit Analysis / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D057187:Independent Living / Q000191:economics* / Q000706:statistics & numerical data; D008297:Male; D009656:North America; D011788:Quality of Life