Evidence map›Paper›PMID 41807925›Full record

ArticleHealth services research2026

Cost-Effectiveness of the Support and Services at Home (SASH) Program for Cardiovascular Risk Factors: A Community-Based Approach to Healthy Aging in Place.

Adam Atherly, Casey Doerner, Rong Yan, Jenn Schollmeyer, Liz Genge, Eline van den Broek-Altenburg

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Adam AtherlyDepartment of Health Administration, College of Health Professions, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID https://orcid.org/0000-0001-6443-0761
Casey DoernerCathedral Square Corp., South Burlington, Vermont, USA.
Rong YanDepartment of Health Administration, College of Health Professions, Virginia Commonwealth University, Richmond, Virginia, USA.
Jenn SchollmeyerCathedral Square Corp., South Burlington, Vermont, USA.
Liz GengeCathedral Square Corp., South Burlington, Vermont, USA.
Eline van den Broek-AltenburgDepartment of Radiology, Larner College of Medicine, University of Vermont, Burlington, Vermont, USA.

Funding

Robert Wood Johnson Foundation 80232
6 · The paper itself

Abstract

objectiveTo estimate the cost effectiveness of the Support and Services at Home (SASH) program for health improvements associated with cardiovascular risk factors. Located in affordable housing units, SASH uses wellness approaches to prevent illness, manage chronic conditions and coordinate care delivery by connecting older adults and individuals with disabilities with community-based services. STUDY SETTING AND

designWe calculated total quality-adjusted life years (QALYs) gained from cardiovascular risk reduction and program costs using a Markov model. DATA SOURCES AND ANALYTIC SAMPLE: Data on changes in health status, health outcomes, and programmatic costs were drawn from SASH (primary) data sources from the statewide enrolled population in the original (Vermont) program. Data were collected from 2017 to 2023. PRINCIPAL

findingsSASH reduced total cardiovascular risk factors including increases in appropriate medication use and reductions in systolic blood pressure. The cost per QALY gained ranged from $8344 to $4013 depending on gender and diabetes.

conclusionsSASH is a cost-effective approach to improving the health of older adults and individuals with disabilities through a housing-based community partnership. SASH is emblematic of the "wrong pocket" problem, so replication and funding of the model are challenging. For greater system efficiency and equity, finding ways to incorporate programs outside the healthcare system will be required.

Indexed as

Cardiovascular DiseasesCommunity Health ServicesHealth PromotionHealthy AgingHeart Disease Risk FactorsHome Care ServicesAgedAging in PlaceCost-Benefit AnalysisCost-Effectiveness AnalysisFemaleHealth StatusHumansMaleMarkov ChainsMiddle Agedaging in placecost effectivenesswellness for older adults

Identifiers

PMID41807925
PMCPMC12975405

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.