To evaluate the cost effectiveness and equity of a community based cardiovascular disease prevention programme.
A prospective cross sectional design.
A community based intervention to reduce cardiovascular disease in the district of Norsjö (n=5500), Sweden.
The intervention was aimed at both the general population and at individuals thought to be at special risk, the emphasis being on changing dietary habits and reducing cholesterol concentrations.
The participants were men and women aged 30-60 years.
The mean serum cholesterol concentration in the Norsjö population was reduced by nearly 20% during the first six years of intervention.
It was estimated that the programme's overall total societal costs were £363 000 and estimates of the cost per year of life saved ranged from £14 900 to net savings, according to different assumptions.
Taking only health care costs and savings into account, the cost per year of life saved ranged from £1100 to £4050.
The results varied between different sex and age groups, but not between social classes.
Even if a causal relationship exists between low cholesterol concentrations and excess mortality, the estimated side effects of lowering cholesterol values in Norsjö were negligible in comparison with the expected benefits.
The community based intervention in Norsjö seems to be cost effective even under conservative assumptions.
The approach used ...
Mots-clés Pascal : Programme sanitaire, Prévention, Appareil circulatoire pathologie, Evaluation, Analyse coût efficacité, Economie santé, Homme, Suède, Europe
Mots-clés Pascal anglais : Sanitary program, Prevention, Cardiovascular disease, Evaluation, Cost efficiency analysis, Health economy, Human, Sweden, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0233484
Code Inist : 002B30A01C. Création : 199608.