Cost-effectiveness of population-based, community, workplace and individual policies for diabetes prevention in the UK.
Diabet Med
; 34(8): 1136-1144, 2017 08.
Article
em En
| MEDLINE
| ID: mdl-28294392
ABSTRACT
AIM:
To analyse the cost-effectiveness of different interventions for Type 2 diabetes prevention within a common framework.METHODS:
A micro-simulation model was developed to evaluate the cost-effectiveness of a range of diabetes prevention interventions including (1) soft drinks taxation; (2) retail policy in socially deprived areas; (3) workplace intervention; (4) community-based intervention; and (5) screening and intensive lifestyle intervention in individuals with high diabetes risk. Within the model, individuals follow metabolic trajectories (for BMI, cholesterol, systolic blood pressure and glycaemia); individuals may develop diabetes, and some may exhibit complications of diabetes and related disorders, including cardiovascular disease, and eventually die. Lifetime healthcare costs, employment costs and quality-adjusted life-years are collected for each person.RESULTS:
All interventions generate more life-years and lifetime quality-adjusted life-years and reduce healthcare spending compared with doing nothing. Screening and intensive lifestyle intervention generates greatest lifetime net benefit (£37) but is costly to implement. In comparison, soft drinks taxation or retail policy generate lower net benefit (£11 and £11) but are cost-saving in a shorter time period, preferentially benefit individuals from deprived backgrounds and reduce employer costs.CONCLUSION:
The model enables a wide range of diabetes prevention interventions to be evaluated according to cost-effectiveness, employment and equity impacts over the short and long term, allowing decision-makers to prioritize policies that maximize the expected benefits, as well as fulfilling other policy targets, such as addressing social inequalities.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Modelos Econômicos
/
Diabetes Mellitus Tipo 2
/
Estilo de Vida Saudável
/
Dieta Saudável
/
Política de Saúde
/
Promoção da Saúde
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Health_economic_evaluation
/
Prognostic_studies
/
Screening_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Diabet Med
Assunto da revista:
ENDOCRINOLOGIA
Ano de publicação:
2017
Tipo de documento:
Article