[Cost-effectiveness of prevention: opportunities for public health policy in the Netherlands].
| Autor: | van den Berg M; Rijksinstituut voor Volksgezondheid en Milieu, Bilthoven. matthijs.van.den.berg@rivm.nl, de Wit GA, Vijgen SM, Busch MC, Schuit AJ |
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| Jazyk: | Dutch; Flemish |
| Zdroj: | Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2008 Jun 07; Vol. 152 (23), pp. 1329-34. |
| Abstrakt: | Objective: To gain insight into the cost-effectiveness of new preventive interventions. Design: Systematic review and interviews. Method: Based on literature search, a search of the project database of ZonMw and interviews with experts, the National Institute for Public Health and the Environment drew up a long list of preventive interventions that are potentially cost-effective but are not yet systematically carried out in the Netherlands. From this long list, 21 interventions were selected for each of which, at least 3 economic evaluations were available that indicate favourable cost-effectiveness (< Euro 20,000,--per QALY gained). Results: The majority of the interventions concerned vaccination and screening programmes (7 and 5 respectively). Only a small minority concerned health promotion or health protection (1 respectively 3). There was strong evidence that 5 interventions were both cost-effective, and feasible. These were: screening for Chlamydia, screening for diabetic retinopathy in type 2 diabetes, screening for neonatal group beta streptococcal infections through a combination strategy, prevention of recurrent myocardial infarction through heart habilitation, and prevention of head injuries by wearing of bicycle helmets by children. Conclusion: Before implementation of preventive interventions, it is necessary to investigate whether these interventions are also cost-effective in the Dutch context. |
| Databáze: | MEDLINE |
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