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  1. Preventing fatal diseases increases healthcare costs : cause elimination life table approach.

    Article - En anglais


    To examine whether elimination of fatal diseases will increase healthcare costs.


    Mortality data from vital statistics combined with healthcare spending in a cause elimination life table.

    Costs were allocated to specific diseases through the various healthcare registers.

    Setting and subjects 

    The population of the Netherlands, 1988.

    Main outcome measures 

    Healthcare costs of a synthetic life table cohort expressed as life time expected costs.


    The life time expected healthcare costs for 1988 in the Netherlands were £56 600 for men and £80 900 for women.

    Elimination of fatal diseases-such as coronary heart disease, cancer, or chronic obstructive lung disease-increases healthcare costs.

    Major savings will be achieved only by elimination of non-fatal disease-such as musculoskeletal diseases and mental disorders.


    The aim of prevention is to spare people from avoidable misery and death not to save money on the healthcare system.

    In countries with low mortality, elimination of fatal diseases by successful prevention increases healthcare spending because of the medical expenses during added life years.

    Mots-clés Pascal : Soin santé primaire, Prévention, Coût, Mortalité, Etude comparative, Etiologie, Analyse statistique, Homme, Pays Bas, Europe, Economie santé

    Mots-clés Pascal anglais : Primary health care, Prevention, Costs, Mortality, Comparative study, Etiology, Statistical analysis, Human, Netherlands, Europe, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0103037

    Code Inist : 002B30A03A. Création : 22/06/1998.