Cost-effective interventions to prevent non-communicable diseases: increasing the evidence base in India and other low- and middle-income settings

[...]in recent years, the government has taken several steps towards establishing the infrastructure for evidence-based priority setting and resource allocation [3], including the establishment of a body for Health Technology Assessment in India (HTAIn) within the Department of Health Research to co...

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Vydáno v:BMC medicine Ročník 18; číslo 1; s. 379 - 3
Hlavní autoři: Eggleston, Karen, Jain, Radhika
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 09.12.2020
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Alcohol
Biomedicine
Care and treatment
Chronic diseases
Chronic illnesses
Correspondence
Cost analysis
Cost-Benefit Analysis
Cost-effectiveness
Diabetes
Diabetes mellitus
Diabetes Mellitus, Type 2
Disease prevention
Economic aspects
Economic development
Estimates
Health care expenditures
Health care policy
Health promotion
Health risks
Humans
India
India - epidemiology
Intervention
Life Style
Lifestyles
Low income groups
Medical research
Medicine
Medicine & Public Health
Medicine, Preventive
Non-communicable diseases
Noncommunicable Diseases - epidemiology
Noncommunicable Diseases - prevention & control
Physical activity
Population
Prevention
Preventive health services
Public health
Resource allocation
Risk analysis
Risk factors
Risk taking
Sensitivity analysis
Sleep
Socioeconomics
Systematic review
Technology assessment
Tobacco
Uncertainty analysis
India
Asia
United States > US
Non-communicable diseases
Diabetes
Cost-effectiveness
India
ISSN:1741-7015, 1741-7015
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Popis
Shrnutí:[...]in recent years, the government has taken several steps towards establishing the infrastructure for evidence-based priority setting and resource allocation [3], including the establishment of a body for Health Technology Assessment in India (HTAIn) within the Department of Health Research to collate and generate evidence on the clinical efficacy and cost-effectiveness of new and existing health technologies and programs [4]. Levels of several critical risk behaviors, such as alcohol and tobacco use, low physical activity, and unhealthy diet are increasing in socioeconomic status and will require explicit intervention beyond economic development or access to curative care alone. Because the risk factors for chronic diseases are overlapping, the benefits of preventive interventions targeting them are likely to extend beyond preventing diabetes or any other single NCD. [...]the uncertainty analyses suggest that 80% or more of bootstrap estimates were cost-effective and that the ICERs remained below the cost-effectiveness threshold in sensitivity analyses moving the costs and effectiveness up or down by 10–30%. [...]many health conditions could be prevented if all middle-aged individuals adhered to lifestyles with high physical activity, healthy eating habits, no tobacco, limited alcohol, and adequate sleep—the risk factors targeted in K-DPP. [...]health-promoting interventions complement existing policy efforts to support healthy aging [10].
Bibliografie:SourceType-Scholarly Journals-1
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ISSN:1741-7015
1741-7015
DOI:10.1186/s12916-020-01850-0