An Economic Evaluation of the Assessment of Service Promoting Independence and Recovery in Elders


The Assessment of Services Promoting Independence and Recovery in Elders (ASPIRE) was a prospective meta-analysis of three initiatives designed to promote independence and continued living in the community for elderly people (ageing-in-place).

This report presents the results of a cost-effectiveness analysis of each of the three ageing-in-place initiatives to assess their cost effectiveness relative to the elderly receiving conventional health-care services (usual care) in each region.

ASPIRE research report

The Assessment of Services Promoting Independence and Recovery in Elders (ASPIRE) evaluated three existing ageing-in-place programmes to promote older people’s independence and their continued ability to live in the community. The three programmes were:

  • The Coordination of Services for Elderly (COSE) programme in Christchurch; an individual case-management model of care;
  • The Promoting Independence Programme (PIP) in Lower Hutt; a rehabilitation service model of care; and
  • The Community Flexible Integrated Restorative Support Team (Community FIRST) programme in Hamilton; a restorative home support model of care.

The research aimed to determine the effectiveness of each programme compared to usual care services in each region, which included measuring:

  • the effectiveness in preventing or delaying an older person's entry to residential care;
  • the effectiveness in increasing an older person's length of life;
  • the impact on older people’s independence and health-related quality of life;
  • the impact on the quality of life of carers;
  • the costs and effectiveness of each intervention (compared to usual care) on the dimensions of extending life and delaying entry into residential care.

Below is the final ASPIRE research report presented by Auckland UniServices Limited in September 2006 in PDF format and as a compressed file (ZIP):

Because the files above are large the report is also provided below in sections:

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