The purpose of the study is to critically review the empirical evidenc
e for the effectiveness of preventive health programs for older people
living in the community. A literature review of randomised controlled
trials, involving subjects aged predominantly over 65 years, publishe
d in the English language, was conducted. The data base MEDLINE produc
ed the majority of references. The search yielded 20 randomised contro
lled trials. A potential for cost savings and improved health outcomes
has been demonstrated. However, given the heterogeneity of studies an
d methodological weaknesses, the overall benefit is unclear. It is rec
ommended a randomised controlled trial be conducted to test the effect
iveness of comprehensive preventive programs for the Australian elderl
y.