The cost-effectiveness of environmental approaches to disease prevention.

@article{Chokshi2012TheCO,
  title={The cost-effectiveness of environmental approaches to disease prevention.},
  author={Dave A. Chokshi and Thomas A. Farley},
  journal={The New England journal of medicine},
  year={2012},
  volume={367 4},
  pages={
          295-7
        }
}
  • D. Chokshi, T. Farley
  • Published 25 July 2012
  • Medicine, Political Science, Psychology
  • The New England journal of medicine
Although preventive approaches to disease are intuitively appealing and frequently presented as a way to reduce costs, analyses have suggested that they're generally no more cost-effective than therapeutic interventions. But are some more cost-effective than others? 
Preventive care study: a resource orchestration view
TLDR
Preventive care is identified as one of the most effective strategies to reduce the risk of chronic disease and healthcare spending in developing countries.
Randomized Controlled Trials in Environmental Health Research: Unethical or Underutilized?
TLDR
It is argued that more randomized controlled trials in environmental health would complement a strong tradition of observational research and improve the quality of research into environmental health conditions.
Cost‐effective options for the prevention and management of gastrointestinal and liver disease in the Asia–Pacific region
The Asia–Pacific region contains more than half of the world's population and is markedly heterogeneous in relation to income levels and the provision of public and private health services. For
BODY OF EVIDENCE An overview of the low dose effects of Bisphenol A in relation to breast cancer
TLDR
An overview of the low dose effects of Bisphenol A in relation to breast cancer and its role in women's health is provided.
Efficacy and cost-effectiveness of behavioral interventions in nonclinical settings for improving health outcomes.
TLDR
The disciplines of health psychology and behavioral medicine are in a unique position to develop, implement, and evaluate a broader range of interventions in more diverse environments than cost-effectiveness applications in more traditional, clinical settings.
The Value of Prevention
TLDR
The concept of medical rationing is introduced, which is inherent in the discussion of screening guidelines and their application in clinical practice, which will focus on breast cancer, prostate cancer, and cervical cancer screening guidelines as examples.
When environmental chemicals act like uncontrolled medicine
  • L. Birnbaum
  • Biology, Medicine
    Trends in Endocrinology & Metabolism
  • 2013
Changing behaviors to prevent noncommunicable diseases
TLDR
This work has shown that noncommunicable diseases are as preventable across entire populations as are infectious diseases, but require a different approach—one that involves policy change to promote healthy behaviors.
Pilot trial and process evaluation of a multi-level smoking prevention intervention in further education settings
TLDR
This paper presents a meta-analysis of eight trials conducted at the University of Bristol over a two-year period and found that three of the four studies showed promising results in terms of protection against adverse events and disease progression.
...
...

References

SHOWING 1-7 OF 7 REFERENCES
Does preventive care save money? Health economics and the presidential candidates.
TLDR
W sweeping statements about the cost-saving potential of prevention, however, are overreaching, according to Joshua Cohen, Peter Neumann, and Milton Weinstein.
Shaping the context of health: a review of environmental and policy approaches in the prevention of chronic diseases.
TLDR
Effective and promising interventions to address tobacco use, physical activity, and healthy eating are described and lessons learned from the literature and practice experience in applying environmental and policy approaches are learned.
Proportion of the decline in cardiovascular mortality disease due to prevention versus treatment: public health versus clinical care.
TLDR
Models suggest that additional large reductions in CHD mortality are feasible by either improving the distribution of risk factors in the population or raising the percentage of patients receiving evidence-based treatments.
The Effect of Improving Processes of Care on Patient Outcomes: Evidence From the United Kingdom’s Quality and Outcomes Framework
TLDR
Improvement in process performance in English family practices led to improvements in patient outcomes, and although the effect was modest at the practice-level, process improvements seem to have led to substantial improvements in population health.
The long-term effect of premier pay for performance on patient outcomes.
TLDR
It was found that the effects of pay for performance on mortality did not differ significantly among conditions for which outcomes were explicitly linked to incentives (acute myocardial infarction and CABG) and among conditions not linked to incentive (congestive heart failure and pneumonia).