Kosteneffectiviteit van preventie: Kansen voor het Nederlandse volksgezondheidsbeleid

Translated title of the contribution: Cost-effectiveness of prevention: opportunities for public health policy in the Netherlands

M van den Berg, G A de Wit, S M C Vijgen, M C M Busch, A.J. Schuit

Research output: Contribution to journalArticleScientificpeer-review

24 Citations (Scopus)

Abstract

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.

Translated title of the contributionCost-effectiveness of prevention: opportunities for public health policy in the Netherlands
Original languageDutch
Pages (from-to)1329-1334
JournalNederlandsch Tijdschrift voor Geneeskunde
Volume152
Issue number23
Publication statusPublished - 7 Jun 2008
Externally publishedYes

Keywords

  • Cost-Benefit Analysis
  • Craniocerebral Trauma
  • Health Policy
  • Humans
  • Mass Screening
  • Meta-Analysis as Topic
  • Primary Prevention
  • Public Health
  • Vaccination
  • English Abstract
  • Journal Article

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