Promoting health, preventing disease : the economic case PDF
Preview Promoting health, preventing disease : the economic case
V I EuropeanObservatoryonHealthSystemsandPoliciesSeries Promoting Health, Preventing Disease The economic case Copyrightedmaterial Promoting Health, Preventing Disease The Economic Case |8WOrogralndizHaetailotnh Europe IHMGovernment 53 LSE TheEuropeanObservatoryonHealthSystemsandPoliciessupportsand promotesevidence-basedhealthpolicy-makingthroughcomprehensiveand rigorousanalysisofhealthsystemsinEurope.Itbringstogetherawiderange ofpolicy-makers,academicsandpractitionerstoanalysetrendsinhealth reform,drawingonexperiencefromacrossEuropetoilluminatepolicyissues. TheEuropeanObservatoryonHealthSystemsandPoliciesisapartnership betweentheWorldHealthOrganizationRegionalOfficeforEurope, the Governments of Austria, Belgium, Finland, Ireland, Norway, Slovenia, Sweden,theUnitedKingdom,andtheVenetoRegionofItaly,theEuropean Commission,theWorldBank,UNCAM(FrenchNationalUnionofHealth InsuranceFunds),theLondonSchoolofEconomicsandPoliticalScience,and theLondonSchoolofHygiene&TropicalMedicine. Copyrightedi OECD >y ObservatorySL' REGIONALOFFICEFOREurope BETTERPrOLfICESFORBETTERLIVES ^^on^HeMaltahSyisitJeWms.gaLnHdHPUoTliicaieEsl Promoting Health, Preventing Disease The Economic Case Edited by David McDaid, FrancoSassi and Sherry Merkur OpenUniversityPress OpenUniversityPress McGraw-HillEducation McGraw-HillHouse ShoppenhangersRoad Maidenhead Berkshire England SL62QL email:[email protected] worldwideweb:www.openup.co.uk andTwoPennPlaza,NewYork,NY10121-228q,USA Firstpublished2015 CthoepyEruirghotpe©anWoOrblsderHveaatlotrhyOorngaHneiazlatthioSny2s0t1e5ms(aacntdingPoaliscitehse).hostorganizationfor,andsecretariatof, Theviewsexpressedbyauthorsoreditorsdonotnecessarilyrepresentthedecisionsorthestated policiesoftheEuropeanObservatoryonHealthSystemsandPoliciesoranyofitspartners.The deexspirgensastiioonnosfeamnpylooypiendioanndwhtahtesoperveseernotanttiohneopfarttheofmtahteerEiaulroipnetahnisOpbusbelrivcaattioornydoonnHoetalitmhplSyytshteems aarnedaPoorliocfieistsoaruathnoyriotfieist,soprarctonnecresrncionngcetrhneindgeltihmeitlaetgiaolnsstoaftuitssoffroanntiyercsouonrtrbyo,untdearrriiteosry.,Wchiteyroerthe dcietsiiesg,naotrioarnea‘sc.ounDtortyteodralirneeas’oanppmeaarpssirnetphreesheenatdaipnpgrsoxofimtaatbleesb,oridtecrovleinresscfoourntwrhiiecsh,tthererrietomriaeys,not yetTbheefmuellntaigorneeomfenspte.cificcompaniesorofcertainmanufacturers’productsdoesnotimplythat theyareendorsedorrecommendedbytheEuropeanObservatoryonHealthSystemsandPolicies tOooWipfnhfubfHbesipilRecOtrniiisreacgavflauRhametsetvtrieesgiooe.isenrtnowToycnoisheafstoelrotcnpaforooOnoHtpmfsopeihfpltrainealhicliteeeeOtoertthnEsafeisronCSoyrateyfDonxEpsdaupGrtorroersecoedriompousmmresfcisra,lteetnaascdh,MrnteaadanaSrrgnapenmPodtaodovudnlrareiiisversrcsheitganhtejilu,mhslnmeag5Fedtnnu1rnotoiaettessrnDshsecbKoehe-fednnoomai2lbtttpin1ysaldwmb0moaiel0nRreyeniurtetmfCiasidoabonslorpetinhcaeareeatnnrndphyceh.iaoistatudnahEgnltaoretdhrumrnloeoliea,rdteingstsnoDeeb.aftreessnon.nrdsiemmToncaaohucetmruegsiikrshosraEntoesrurdicfirolorboaynnoypstsmeraeaaeeWimfnxnarlHceeeiescdOlptultiatatnethtdte,his tfrraonmslOapteionnrUingihvtesr@seiutryoP.rwehsos..int.Rightstotranslateintoallotherworldlanguagesshouldbesought revAilelw,ringohtsparretseofrvtehdi.sEpuxbcleipctatfioornthmeayquobteatrieopnroodfucsehdo,rtsptoarsesdaginesafroertrtihevealpusrypsotseem,oforcrtirtaincissmmitatnedd, inanyformorbyanymeans,electronic,mechanical,photocopying,recordingorotherwise, wACiogtpehynorcuiytghtLthiemLiiptcreeidno.rsiDwnergtiatAitglesnenopcfeyrsmuLictsdhsiolofincSeaonffcfetrshoen(fpoHuroburlseipesr,hoeg6rr-oa1rp0haicKliirrcebepynrcSoetdrufecretoti,montL)hoenmdaCooynpybEreCigoIhbNttaL8iiTncSee.dnsfirnogmthe AcataloguerecordofthisbookisavailablefromtheBritishLibrary ISBN-13:378-0-335-26226-7 ISBN-10:0-335-26226-0 elSBN:378-0-335-26227-4 LibraryofCongressCataloging-in-PublicationData CIPdataappliedfor TypesetbyRefineCatchLimited,Bungay,Suffolk Fictitiousnamesofcompanies,products,people,charactersand/ordatathatmaybeusedherein (incasestudiesorinexamples)arenotintendedtorepresentanyrealindividual,company,product orevent. Theopinionsexpressed,andargumentsemployedhereinarethoseoftheauthoranddonot TnheicsesdsoarciulmyenretflaenctdtahneyofmfiacpialinvcileuwdsedofhetrheeinOEaCreDwoirthoofutthpergejouvdeircnemteontthseosftiattsumseomfboerrsocvoeurnetirginest.y overanyterritory,tothedelimitationofinternationalfrontiersandboundariesandtothenameof anyterritory,cityorarea. EuropeanObservatoryonHealthSystemsandPoliciesSeries TheEuropeanObservatoryonHealthSystemsandPoliciesisauniqueprojectthat buildsonthecommitmentofallitspartnerstoimprovinghealthsystems: • WorldHealthOrganizationRegionalOfficeforEurope • GovernmentofAustria • GovernmentofBelgium • GovernmentofFinland • GovernmentofIreland • GovernmentofNorway • GovernmentofSlovenia • GovernmentofSweden • GovernmentoftheUnitedKingdom • VenetoRegionofItaly • EuropeanCommission • WorldBank • UNCAM • LondonSchoolofEconomicsandPoliticalScience • LondonSchoolofHygiene&TropicalMedicine Theseries ThevolumesinthisseriesfocusonkeyissuesforhealthpolicymakinginEurope.Eachstudy explorestheconceptualbackground,outcomesandlessonslearnedaboutthedevelopmentof moreequitable,moreefficientandmoreeffectivehealthsystemsinEurope.Withthisfocus, theseriesseekstocontributetotheevolutionofamoreevidence-basedapproachtopolicy formulationinthehealthsector. Thesestudieswillbeimportanttoallthoseinvolvedinformulatingorevaluatingnational healthpoliciesand,inparticular,willbeofusetohealthpolicymakersandadvisers,who areunderincreasingpressuretorationalizethestructureandfundingoftheirhealthsystem. Academicsandstudentsinthefieldofhealthpolicywillalsofindthisseriesvaluablein seekingtobetterunderstandthecomplexchoicesthatconfrontthehealthsystemsofEurope. TheObservatorysupportsandpromotesevidence-basedhealthpolicymakingthrough comprehensiveandrigorousanalysisofthedynamicsofhealthcaresystemsinEurope. SeriesEditors JosepFiguerasistheDirectoroftheEuropeanObservatoryonHealthSystemsandPolicies, andHeadoftheEuropeanCentreforHealthPolicy,WorldHealthOrganizationRegional OfficeforEurope. MartinMcKeeisDirectorofResearchPolicyandHeadoftheLondonHuboftheEuropean ObservatoryonHealthSystemsandPolicies.HeisProfessorofEuropeanPublicHealthat theLondonSchoolofHygiene&TropicalMedicine,aswellasaCo-directoroftheSchool’s EuropeanCentreonHealthofSocietiesinTransition. EliasMossialosisaCo-directoroftheEuropeanObservatoryonHealthSystemsandPolicies. HeisBrianAbel-SmithProfessorinHealthPolicy,DepartmentofSocialPolicy,LondonSchool ofEconomicsandPoliticalScienceandDirectorofLSEHealth. RichardB.SaltmanisAssociateHeadofResearchPolicyandHeadoftheAtlantaHubofthe EuropeanObservatoryonHealthSystemsandPolicies.HeisProfessorofHealthPolicyand ManagementattheRollinsSchoolofPublicHealth,EmoryUniversityinAtlanta,Georgia. ReinhardBasseisAssociateHeadofResearchPolicyandHeadoftheBerlinHubofthe EuropeanObservatoryonHealthSystemsandPolicies.HeisProfessorofHealthCare ManagementattheBerlinUniversityofTechnology. EuropeanObservatoryonHealthSystemsandPoliciesSeries SeriesEditors:JosepFlgueras,MartinMcKee,EliasMossialos,RichardB. SaltmanandReinhardBusse Publishedtitles HealthpolicyandEuropeanUnionenlargement MartinMcKee,LauraMacLehoseandEllenNolte(eds) RegulatingpharmaceuticalsinEurope:strivingforefficiency,equityandquality EliasMossialos,MoniqueMrazekandTomWalley(eds) SocialhealthinsurancesystemsinwesternEurope RichardB.Saltman,ReinhardBusseandJosepFigueras(eds) Purchasingtoimprovehealthsystemsperformance JosepFigueras,RayRobinsonandElkeJakubowski(eds) HumanresourcesforhealthinEurope Carl-ArdyDubois,MartinMcKeeandEllenNolte(eds) Primarycareinthedriver’sseat RichardB.Saltman,AnaRicoandWienkeBoerma(eds) MentalhealthpolicyandpracticeacrossEurope:thefuturedirectionof mentalhealthcare MartinKnapp,DavidMcDaid,EliasMossialosandGrahamThornicroft(eds) Decentralizationinhealthcare RichardB.Saltman,VaidaBankauskaiteandKarstenVrangbak(eds) Healthsystemsandthechallengeofcommunicablediseases:experiencesfrom EuropeandLatinAmerica RichardCoker,RifatAtunandMartinMcKee(eds) Caringforpeoplewithchronicconditions:ahealthsystemperspective EllenNolteandMartinMcKee(eds) Nordichealthcaresystems:recentreformsandcurrentpolicychallenges JonMagnussen,KarstenVrangbakandRichardB.Saltman(eds) Diagnosis-relatedgroupsinEurope:movingtowardstransparency,efficiency aridqualityinhospitals ReinhardBusse,AlexanderGeissler,WilmQuentinandMiriamWiley(eds) MigrationandhealthintheEuropeanUnion BerndRechel,PhilipaMladovsky,WalterDeville,BarbaraRijks,Roumyana Petrova-BenedictandMartinMcKee(eds) SuccessandfailuresofhealthpolicyinEurope:fourdecadesofdivergent trendsandconvergingchallenges JohanP.MackenbachandMartinMcKee(eds) Europeanchildhealthservicesandsystems:lessonswithoutborders IngridWolfeandMartinMcKee(eds) Implicationsforhealthsystemperformanceandaccountability CherylCashin,Y-LingChi,PeterC-.Smith,MichaelBorowitzandSarahThomson (eds) HaenadltRhesSeyasrtcehmPerformanceComparison:AnAgendaforPolicy,Information IrenePapanicolasandPeterSmith(eds) FacetsofPublicHealthinEurope BerndRechelandMartinMcKee(eds) PayingForPerformanceinHealthcare:ImplicationsforHealthSystem PerformanceandAccountability CherylCashin,Y-LingChi,PeterSmith,MichaelBorowitzandSarahThomson (eds) Contents Listofcontributors ix Listoftables,figuresandboxes xiii Foreword xvii Executivesummary xxi Acknowledgements XXV Listofabbreviations xxvii Parti Introduction one Introductiontotheeconomicsofhealth promotionanddiseaseprevention 3 FrancoSassi,SherryMerkurandDavidMcDaid two Supportingeffectiveandefficientpolicies:the roleofeconomicanalysis 19 DavidMcDaid,FrancoSassiandSherryMerkur three Measurementchallengesintheeconomic evaluationofpublichealthinterventions 33 SilviaEvers.Marie-JeanneAartsandAdrienne Alayli-Goebbels vlil Contents PartII Makingtheeconomiccasefortacklingkeyrisk factorstohealth four Curbingtobaccosmoking 53 JoyTownsend five Tacklingalcohol-relatedharms SI PeterAnderssm six Promotingphysicalactivitg 101 MicheleCecchiniandFionaBull seven Improvingthequalityofnutrition 135 CorinnaHawkesandFrancoSassi eight Addressingenvironmentalrisksforchildhealth 169 LeonardoTrasandeandZacharyBrown nine Preventingroad-relatedinjuries 191 RobAnderson,DavidMcDaidandArtMPark ten Protectingmentalhealth,preventingdepression 215 FilipSmit,PimCuijpers,IonelaPetreaand DavidMcDaid PartIII Broaderperspectivesontheeconomicsofhealth promotionanddiseaseprevention eleven Socialdeterminantsofhealth:earlgchildhood developmentandeducation 237 MarcSuhrckeand,DonKenkel twelve Healthpromotion,diseasepreventionandhealth inequalities 259 CristinaHernandez-QuevedoandHelenWeatherly PartIV Translatingevidenceintopolicg thirteen Evidenceintopolicy:thecaseofpublichealth 279 MichaelP.KellyandNatalieBartle fourteen Makinganeconomiccaseforintersectoralaction 293 DavidMcDaidandMatthiasWismar fifteen Theeconomicsofhealthpromotionanddisease prevention:thewagforward 313 SherryMerkur,DavidMcDaidandFrancoSassi Index 326 Copyrig Listofcontributors Marie-JeanneAartsisPost-doctoralResearcher,SchoolforPublicHealthand PrimaryCare,MaastrichtUniversity,(heNetherlands. AdrienneAlajjli-GoebbelsisResearcherinHealthEconomics,Maastricht University,theNetherlands. PeterAndersonisProfessorofSubstanceUse,PolicyandPractice,Institute ofHealthandSociety,NewcastleUniversity,UKandExtraordinaryProfessor ofAlcoholandHealthintheFacultyofHealth,MedicineandLifeSciences, MaastrichtUniversity,theNetherlands. RobAndersonisProfessorofHealthEconomicsandEvaluation,Universityof ExeterMedicalSchool,UnitedKingdom. NatalieBartleisBusinessDevelopmentManager,DerbyHospitalsNHSTrust, Derby,UnitedKingdom. ZacharyS.BrownisEnvironmentalandResourceEconomist,NorthCarolina State University, Raleigh, North Carolina, USA andAssistant Professor, DepartmentofAgriculturalandResource Economics, ClusterFaculty in theGeneticEngineeringandSociety Program, USA. Hewaspreviously EnvironmentalandResourceEconomist,OECD,Paris,France.
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