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

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.

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.

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 Improving maternal and newborn care: cost-effectiveness of an innovation to rebrand traditional birth attendants in Sierra Leone

2020 ◽  
Vol 65 (9) ◽  
pp. 1603-1612
Author(s):  
Jean Christophe Fotso ◽  
Ashley Ambrose ◽  
Paul Hutchinson ◽  
Disha Ali
Keyword(s):  
Health Promotion ◽  
Cost Effectiveness ◽  
Sierra Leone ◽  
Newborn Care ◽  
Cost Effective ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
Effective Interventions ◽  
Health Related ◽  
The Cost

Abstract Objectives This paper evaluates the cost-effectiveness of rebranding former traditional birth attendants (TBAs) to conduct health promotion activities and refer women to health facilities. Methods The project used 200 former TBAs, 100 of whom were also enrolled in a small income generating business. The evaluation had a three-arm, quasiexperimental design with baseline and endline household surveys. The three arms were: (a) Health promotion (HP) only; (b) Health promotion plus business (HP+); and (c) the comparison group. The Lives Saved Tool is used to estimate the number of lives saved. Results The HP+ intervention had a statistically significant impact on health facility delivery and four or more antenatal care (ANC) visits during pregnancy. The cost-effectiveness ratio was estimated at US$4130 per life year saved in the HP only arm, and US$1539 in the HP+ arm. Therefore, only the HP+ intervention is considered to be cost-effective. Conclusions It is critical to prioritize cost-effective interventions such as, in the case of rural Sierra Leone, community-based strategies involving rebranding TBAs as health promoters and enrolling them in health-related income generating activities.

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