Determining the Cost-Effectiveness of Health Promotion Programs

1999 ◽  
pp. 637-650
Author(s):  
Eli Capilouto
Keyword(s):  
Health Promotion ◽  
Cost Effectiveness ◽  
Health Promotion Programs ◽  
The Cost

Should we change the focus of health promotion in sexual health clinics?

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 407 ◽  
Author(s):  
Rudiger Pittrof ◽  
Elizabeth Goodburn
Keyword(s):  
Risk Factors ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Reproductive Health ◽  
Sexual Health ◽  
Sexual And Reproductive Health ◽  
Health Clinics ◽  
Unknown Risk ◽  
Sexual Health Clinics ◽  
The Cost

The effectiveness of sexual behaviour change interventions in sexual health clinics is unknown. Risk factors for poor sexual and reproductive health such as depression, violence, alcohol and smoking in sexual health clinics are all common and can be identified easily in sexual health services. Targeting these risk factors could be as effective as traditional sexual health promotion and could have additional benefits. The authors propose a pilot to assess the cost-effectiveness and acceptability of incorporating screening and interventions for these risk factors.

Exploring the Cost-Effectiveness of Unit-Based Health Promotion Activities for Nurses

2013 ◽  
Vol 61 (12) ◽  
pp. 514-520 ◽  
Author(s):  
Mary Val Palumbo ◽  
Evelyn A. Sikorski ◽  
Barbara C. Liberty
Keyword(s):  
Health Promotion ◽  
Cost Effectiveness ◽  
The Cost

Health economics and health promotion

2018 ◽  
pp. 113-140
Author(s):  
Colin Palfrey
Keyword(s):  
Health Promotion ◽  
Cost Effectiveness ◽  
Health Economics ◽  
Conjoint Analysis ◽  
Cost Benefit ◽  
Cost Utility ◽  
Value For Money ◽  
Cost Minimisation ◽  
The Cost

This chapter examines the techniques used by health economists to evaluate the value for money of health promotion initiatives. It first provides an overview of concepts related to economics and health economics, including efficiency, equality, equity and accessibility. Efficiency can be evaluated in terms of cost-minimisation, cost-effectiveness, cost-benefit and cost-utility. The chapter then considers the various rationing strategies by which the NHS can try to reduce expenditure, the use of QALYs to compare the cost-effectiveness of health promotion projects, and conjoint analysis. It also explains how health economists calculate the cost to society of unhealthy lifestyles such as obesity and smoking, and goes on to tackle the question of prevention vs cure in health promotion, the expenditure on the NHS, and the limitations of health economics in evaluation of health promotion endeavours. The chapter concludes with an assessment of how to estimate the costs of health promotion.

scholarly journals Cost-effectiveness of mental health promotion and prevention for young people: a systematic review

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Schmidt ◽  
A Werbrouck ◽  
N Verhaeghe ◽  
K Putman ◽  
S Simoens ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Mental Health Promotion ◽  
Economic Evaluations ◽  
Prevention Interventions ◽  
Bullying Interventions ◽  
The Cost ◽  
Disorder Prevention

Abstract Background Effective mental health promotion and mental disorder prevention interventions may reduce the impact that mental health problems have on young people’s wellbeing. The objectives of this research were to summarize and assess health economic evaluations of mental health promotion and prevention for children and adolescents aged 6-18 years. Methods Four electronic databases were searched for full health economic evaluations published between January 1, 2013 and October 31, 2018 that evaluated the cost-effectiveness of universal mental health promotion and primary mental disorder prevention interventions. Each study was subject to a systematic quality-appraisal. Results Nine studies were included. Eight were carried out in the European Union, and eight evaluated school-based interventions. All evaluated interventions led to incremental costs compared to their comparators and most were associated with small increases in quality-adjusted life years. Four studies evaluated the cost-effectiveness of cognitive behavioural therapy-based interventions for the prevention of depression or anxiety, with mixed results. Cost-effectiveness estimates for mental health promotion and anti-bullying interventions were promising. Drivers of cost-effectiveness were implementation costs, intervention effectiveness, delivery mode and duration, baseline prevalence, and the perspective of the evaluation. The overall study quality was reasonable, though most studies only assessed short-term costs and effects. Conclusions Few studies were found. This limits the possibility of drawing strong conclusions about cost-effectiveness. There is some evidence based on decision-analytic modelling that anti-bullying interventions represent value for money. There is a lack of studies that take into account long-term costs and effects. Key messages Based on the evidence, schools should be supported in the implementation of long-term anti-bullying programmes to improve young people’s wellbeing. More research is needed on the long-term costs and effects of mental health promotion and prevention for children and adolescents.

scholarly journals Cost-effectiveness of a mindfulness-based mental health promotion program: economic evaluation of a nonrandomized controlled trial with propensity score matching

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gerhard Müller ◽  
Manuela Pfinder ◽  
Christian Schmahl ◽  
Martin Bohus ◽  
Lisa Lyssenko
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Usual Care ◽  
Prevention Program ◽  
Controlled Trial ◽  
Cost Effective ◽  
Mental Health Promotion ◽  
Health Promotion Programs

Abstract Background Mental health promotion programs have been shown to reduce the burden associated with mental distress and prevent the onset of mental disorders, but evidence of cost-effectiveness is scarce. Objective To evaluate the cost-effectiveness of a mindfulness-based mental health prevention program provided by health coaches in a multi-site field setting in Germany. Methods The single-study based economic evaluation was conducted as part of a nonrandomized controlled trial, comparing the effects of a group-based prevention program to usual care based on propensity score matching. Participants (N = 1166) were recruited via a large statutory health insurance fund. Health outcome was assessed with the Hospital Anxiety and Depression Scale (HADS). Cost outcomes were actually incurred costs compiled from the health insurance’ records. Incremental cost-effectiveness ratios (ICER) were analyzed from a societal and a health care perspective for a 12-month time horizon with sampling uncertainty being handled using nonparametric bootstrapping. A cost-effectiveness acceptability curve was graphed to determine the probability of cost-effectiveness at different willingness-to-pay ceiling ratios. Results From a societal perspective, prevention was cost-effective compared to usual-care by providing larger effects of 1.97 units on the HADS (95% CI [1.14, 2.81], p < 0.001) at lower mean incremental total costs of €-57 (95% CI [− 634, 480], p = 0.84), yielding an ICER of €-29 (savings) per unit improvement. From a health care perspective, the incremental health benefits were achieved at additional direct costs of €181 for prevention participants (95% CI [40, 318], p = 0.01) with an ICER of €91 per unit improvement on the HADS. Willingness-to-pay for the prevention program to achieve a 95% probability of being cost-effective compared to usual-care, was estimated at €225 per unit improvement on the HADS score from a societal, and €191 from a health care perspective respectively. Sensitivity analyses suggested differential cost-effect-ratios depending on the initial distress of participants. Limitations Due to the complexity of the field trial, it was not feasible to randomize participants and offer an active control condition. This limitation was met by applying a rigorous matching procedure. Conclusions Our results indicate that universal mental health promotion programs in community settings might be a cost-effective strategy to enhance well-being. Differences between the societal and health care perspective underline the call for joint funding in the dissemination of preventive services. Trial registration German Clinical Trials Registration ID: DRKS00006216 (2014/06/11, retrospective registration).

Exploring the Cost-Effectiveness of Unit-Based Health Promotion Activities for Nurses

2013 ◽  
Vol 61 (12) ◽  
pp. 514-520 ◽  
Author(s):  
Mary Val Palumbo ◽  
Evelyn A. Sikorski ◽  
Barbara C. Liberty
Keyword(s):  
Health Promotion ◽  
Cost Effectiveness ◽  
The Cost

scholarly journals Workplace Electronic Health Promotion Campaigns for Tobacco Smoking Prevention or Cessation

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Daphne Hui ◽  
Monika Mierzwinski-Urban
Keyword(s):  
Health Promotion ◽  
Cost Effectiveness ◽  
Tobacco Smoking ◽  
Smoking Prevention ◽  
Economic Evaluations ◽  
Electronic Health ◽  
The Cost ◽  
Promotion Campaigns

There is a lack of recent evidence regarding the cost-effectiveness of workplace electronic health promotion campaigns (EHPCs) for the prevention or cessation of tobacco smoking. There is a need for well-designed economic evaluations to assess the cost-effectiveness of workplace EHPCs for the prevention or cessation of tobacco smoking.

scholarly journals Cost-effectiveness analyses of health promotion programs: a case study of smoking prevention and cessation among Dutch students

2007 ◽  
Vol 23 (2) ◽  
pp. 310-318 ◽  
Author(s):  
S. M. C. Vijgen ◽  
P. H. M. van Baal ◽  
R. T. Hoogenveen ◽  
G. A. de Wit ◽  
T. L. Feenstra
Keyword(s):  
Health Promotion ◽  
Cost Effectiveness ◽  
Smoking Prevention ◽  
Health Promotion Programs
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