Clinical and Medico-economic Evaluation of the Cohort "People at Risk of Falling"

Medico-economic Assessment of a "IsereADOM" Package of Services Versus Conventional Monitoring in the Care of a Population of Frail Elderly People With Loss of Autonomy.

The goal of this study is to evaluate the effectiveness of the IsereADOM service package compared to conventional follow-up on the risk of recurrence of falls at 6 months in frail elderly subjects.

There is a medico-economic goal too, is to conduct a cost-utility analysis of the IsereADOM service bundle compared to conventional 6-month follow-up from the community perspective in the cheat population at risk of re-offending.

Inclusion Criteria :

• Patient falling at least 2 times in the year preceding the inclusion, one of them has been reported or consulted by a health care service ;
• Patient fragile and loss of autonomy: level of dependence with GIR 3, 4 and 5 ;
• Patient domiciled in the department of Isère ;
• Patient who can be followed regularly for 6 months ;
• Patient benefiting from an assistance plan : APA, PAP, CARSAT ;
• Patient affiliated with social security or beneficiary of such a scheme ;
• Patient able to read, write and understand French ;
• Patient having signed informed consent to participate.

Exclusion Criteria :

• Patient without professional or family carer of proximity ;
• Patient with moderate to severe cognitive impairment defined by MMS <23 ;
• Patient residing in a nursing home or institution for dependent person ;
• Persons referred to in Articles L1121-5 to L1121-8 of the CSP (corresponds to all persons protected: pregnant woman, parturient, mother who is breastfeeding, person deprived of liberty by judicial or administrative decision, person subject of a legal protection measure).