scholarly journals The Lifestyle Medicine Physician’s Case to Self-Insured Employers: A Business Model for Physicians, a Bargain for Companies

2019 ◽  
Vol 13 (5) ◽  
pp. 462-469 ◽  
Author(s):  
Mahima Gulati ◽  
Mary Delaney
Keyword(s):  
Physical Activity ◽  
Tobacco Cessation ◽  
Evidence Based ◽  
Lifestyle Interventions ◽  
Health Care Insurance ◽  
Sedentary Behaviors ◽  
Lifestyle Medicine ◽  
A Value ◽  
Design Plan ◽  
The Cost

A majority of Americans have health care insurance through their employers, the cost for which is rising at an alarming rate. Unfortunately, higher expenditure on insurance has not translated into healthier employees. In this article, we present a value-based design plan for self-funded employers, administered by lifestyle medicine board-certified providers, which is purported to save money for employers and yet may demonstrate better health outcomes for employees by engaging them in evidence-based lifestyle interventions such as plant-based nutrition, regular physical activity and minimizing sedentary behaviors, sleeping well, tobacco cessation, and so on.

scholarly journals A Cost Analysis of School-Based Lifestyle Interventions

2018 ◽  
Vol 19 (6) ◽  
pp. 716-727 ◽  
Author(s):  
Marije Oosterhoff ◽  
Hans Bosma ◽  
Onno C.P. van Schayck ◽  
Manuela A. Joore
Keyword(s):  
Physical Activity ◽  
Steady State ◽  
Primary School ◽  
Relative Effectiveness ◽  
First Year ◽  
Lifestyle Interventions ◽  
Stakeholder Perspectives ◽  
School Based ◽  
The Cost ◽  
Cost Offsets

Abstract A uniform approach for costing school-based lifestyle interventions is currently lacking. The objective of this study was to develop a template for costing primary school-based lifestyle interventions and apply this to the costing of the “Healthy Primary School of the Future” (HPSF) and the “Physical Activity School” (PAS), which aim to improve physical activity and dietary behaviors. Cost-effectiveness studies were reviewed to identify the cost items. Societal costs were reflected by summing up the education, household and leisure, labor and social security, and health perspectives. Cost inputs for HPSF and PAS were obtained for the first year after implementation. In a scenario analysis, the costs were explored for a hypothetical steady state. From a societal perspective, the per child costs were €2.7/$3.3 (HPSF) and €− 0.3/$− 0.4 (PAS) per day during the first year after implementation, and €1.0/$1.2 and €− 1.3/$− 1.6 in a steady state, respectively (2016 prices). The highest costs were incurred by the education perspective (first year: €8.7/$10.6 (HPSF) and €4.0/$4.9 (PAS); steady state: €6.1/$7.4 (HPSF) and €2.1/$2.6 (PAS)), whereas most of the cost offsets were received by the household and leisure perspective (first year: €− 6.0/$− 7.3 (HPSF) and €− 4.4/$− 5.4 (PAS); steady state: €− 5.0/$− 6.1 (HPSF) and €− 3.4/$− 4.1 (PAS)). The template proved helpful for costing HPSF and PAS from various stakeholder perspectives. The costs for the education sector were fully (PAS) and almost fully (HPSF) compensated by the savings within the household sector. Whether the additional costs of HPSF over PAS represent value for money will depend on their relative effectiveness.

Evidence-Based Practice Guideline: Increasing Physical Activity in Schools—Kindergarten Through 8th Grade

2007 ◽  
Vol 23 (3) ◽  
pp. 137-143 ◽  
Author(s):  
Karen Bagby ◽  
Susan Adams
Keyword(s):  
Physical Activity ◽  
School Setting ◽  
Age Groups ◽  
International Health ◽  
The United States ◽  
Evidence Based ◽  
Activity Levels ◽  
Sedentary Behaviors ◽  
Obesity Epidemic ◽  
8Th Grade

Because of the growing obesity epidemic across all age groups in the United States, interventions to increase physical activity and reduce sedentary behaviors have become a priority. Evidence is growing that interventions to increase physical activity and reduce sedentary behaviors have positive results and are generally inexpensive to implement. National and international health organizations are calling for a comprehensive approach for reducing obesity in children that includes increasing physical activity in the school setting. Although the call to increase activity levels in schools is clear, little guidance has been given to schools on specific methods to accomplish this task. This article provides an overview of an evidence-based guideline developed by a physical education teacher and a school nurse to provide inexpensive, easy-to-implement, effective strategies to increase physical activity in students. Tools are also included in the guideline to measure the effectiveness of the intervention.

scholarly journals Lifestyle Medicine – Lifestyle Partnership

2019 ◽  
Vol 16 (1) ◽  
pp. 67-70
Author(s):  
Anca Hâncu ◽  
Florin Mihălţan ◽  
Gabriela Radulian
Keyword(s):  
Physical Activity ◽  
Healthy Lifestyle ◽  
Lifestyle Change ◽  
Noncommunicable Diseases ◽  
Evidence Based ◽  
Lifestyle Medicine ◽  
High Prevalence ◽  
Sustained Change

AbstractHigh prevalence of noncommunicable diseases with their associated costs are related more and more to unhealthy behaviours such as unappropriated diets, lack of physical activity and smoking. Lifestyle medicine is now more and more scientific and with evidence-based fundament. The key in lifestyle change is negotiation and cooperation. Physicians should do more than education, should empower and motivate the patient in planning a healthy lifestyle leading to sustained change.

REKAYASA NILAI HARGA PEMBUATAN TERHADAP EFEKTIFITAS PENGGUNAAN BAHAN PADA PEMBANGUNAN PERUMAHAN TIRTO PENATARAN ASRI TIPE 70/135 KECAMATAN NGLEGOK KABUPATEN BLITAR

2017 ◽  
Vol 7 (1) ◽  
pp. 43-52
Author(s):  
Mochamad Tamim Ma’ruf
Keyword(s):  
Engineering Application ◽  
Cost Savings ◽  
Comparison Method ◽  
Value Engineering ◽  
Design Work ◽  
Housing Projects ◽  
Initial Design ◽  
A Value ◽  
The Cost ◽  
Design Proposal

One-solving methods and techniques necessary to avoid inefficiencies and not economic costs as well as reduce the cost of housing construction is the method of Value Engineering. Value engineering is a method and cost control techniques to analyze a function to its value at the lowest cost alternative (most economical) without reducing the quality desired.At the writing of this study used a comparison method by comparing the initial design to the design proposal of the author. In the housing projects Upgrading Tirto Penataran Asri type 70, the application of Value Engineering conducted on the job a couple walls and roofs pair by replacing some work items with a more economical alternative but does not change the original function and high aesthetic level and still qualify safe. For that performed the step of determining a work item, the alternative stage, the analysis stage, and the stage of recommendations to get a Value Engineering application and cost savings against the wall a couple of work items and partner roof.The proposed design as compared to the initial design. Work items discussed was the work of a couple wall having analyzed obtained savings of Rp. 2,747,643.56 and the work of the roof pair obtained savings of Rp. 2,363,446.80. Thus the total overall savings gained is Rp 5,111,090.36 or savings of 0048%.

An Analysis of the Cost-Effectiveness and Efficacy of Tobacco Cessation Aids

2007 ◽  
Author(s):  
Jason B. Brill ◽  
Jeffery Gertner ◽  
Wayne G. Horn ◽  
Marion A. Gregg
Keyword(s):  
Cost Effectiveness ◽  
Tobacco Cessation ◽  
The Cost

Using Mobile Health Intervention to Explore the Daily Physical Activity Patterns among University Students: Observational Study (Preprint)

2020 ◽  
Author(s):  
Shao-Wei Yeh ◽  
Chun-Yan Yuan ◽  
Yu-Feng Wu ◽  
Rui Shen
Keyword(s):  
Physical Activity ◽  
Physical Exercise ◽  
University Students ◽  
Mobile Health ◽  
Activity Patterns ◽  
Exercise Duration ◽  
School Intervention ◽  
Sedentary Behaviors ◽  
Exercise Participation ◽  
Daily Exercise

BACKGROUND Promoting physical activity for adolescence is a global challenge in public health. Physical inactivity and sedentary behaviors have been regarded to cause harmful chronic diseases to adolescent lifespan. However, high engagement in mobile technology for students may provide opportunities to help change adolescent unhealthy behaviors. Therefore, school sectors may play an important key role, such as implementing mobile health (mHealth) intervention to change students’ unhealthy behaviors and promote regular physical exercise behaviors, especially during the transition from adolescence to young adult. OBJECTIVE This study aimed to explore university students’ daily exercise patterns upon intervention of school-based mHealth project. METHODS Students’ physical exercise participation was recorded with students’ mobile application. With 4152 university freshmen (1476 males, 2676 females) and 335898 of their exercise records were analyzed (mean frequency of 38.2 ±16.10 in males, 45.1±10.81 in females) during the semester. RESULTS Under the school intervention project, students that exercised on Friday and Saturday was lower than that on other days, which indicated that the participation in exercise were more active on weekdays than on weekends. Among the participants who completed the requirement set by the school intervention project, both males and females used weekends to do exercise. On the other hand, overweight male university students participated in physical activity more than the requirement of the school intervention project and their exercise duration were found to be significantly higher than other participants. CONCLUSIONS Understanding a week of daily exercise patterns among youth upon the school mHealth Apps intervention can benefit in developing efficient and flexible projects to promote physical health and improve regular exercise participation in youth.

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