Costs and outcomes of improving population health through better social housing: a cohort study and economic analysis
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- 2017 Cost and outcomes PV
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Objectives We sought to determine the impact of warmthrelated housing improvements on the health, well-being, and quality of life of families living in social housing.
Methods An historical cohort study design was used. Households were recruited by Gentoo, a social housing contractor in North East England. Recruited households were asked to complete a quality of life, well-being, and health service use questionnaire before receiving housing improvements (new energy-efficient boiler and doubleglazing) and again 12 months afterwards.
Results Data were collected from 228 households. The average intervention cost was £3725. At 12-month postintervention, a 16% reduction (-£94.79) in household 6-month health service use was found. Statistically significant
positive improvements were observed in main tenant and household health status (p\0.001; p = 0.009, respectively), main tenant satisfaction with financial situation (p = 0.020), number of rooms left unheated per household (p\0.001), frequency of household outpatient appointments (p = 0.001), and accident/emergency department attendance (p\0.012).
Conclusions Warmth-related housing improvements may be a cost-effective means of improving the health of social housing tenants and reducing health service expenditure, particularly in older populations.
Methods An historical cohort study design was used. Households were recruited by Gentoo, a social housing contractor in North East England. Recruited households were asked to complete a quality of life, well-being, and health service use questionnaire before receiving housing improvements (new energy-efficient boiler and doubleglazing) and again 12 months afterwards.
Results Data were collected from 228 households. The average intervention cost was £3725. At 12-month postintervention, a 16% reduction (-£94.79) in household 6-month health service use was found. Statistically significant
positive improvements were observed in main tenant and household health status (p\0.001; p = 0.009, respectively), main tenant satisfaction with financial situation (p = 0.020), number of rooms left unheated per household (p\0.001), frequency of household outpatient appointments (p = 0.001), and accident/emergency department attendance (p\0.012).
Conclusions Warmth-related housing improvements may be a cost-effective means of improving the health of social housing tenants and reducing health service expenditure, particularly in older populations.
Keywords
- Housing, Health economics, Cost analysis, Cost-consequence analysis, Cohort study, Public Health
Original language | English |
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Pages (from-to) | 1039-1050 |
Journal | International Journal of Public Health |
Volume | 62 |
Issue number | 9 |
Early online date | 13 Jun 2017 |
DOIs | |
Publication status | Published - Dec 2017 |
Prof. activities and awards (2)
Warm Homes for Health: Are warmth-related housing improvements cost-effective?
Activity: Talk or presentation › Invited talk
Investing in warmer housing could save the NHS billions
Activity: Other › Types of Public engagement and outreach - Media article or participation
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