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Optimising health c...
Optimising health care within given budgets: Primary prevention of cardiovascular disease in different regions of Sweden
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- Löfroth, Emil (författare)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Centre for Epidemiology, National Board of Health and Welfare, SE-106 30, Stockholm, Sweden
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- Lindholm, Lars (författare)
- Umeå universitet,Epidemiologi och folkhälsovetenskap
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- Wilhelmsen, Lars, 1932 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för akut och kardiovaskulär medicin,Institute of Medicine, Department of Emergeny and Cardiovascular Medicine
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- Rosen, Månas (författare)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Centre for Epidemiology, National Board of Health and Welfare, SE-106 30, Stockholm, Sweden
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(creator_code:org_t)
- Clare : Elsevier BV, 2006
- 2006
- Engelska.
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Ingår i: HEALTH POLICY. - Clare : Elsevier BV. - 0168-8510 .- 1872-6054. ; 75:2, s. 214-229
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- This study investigated the consequences of applying strict health maximisation to the choice between three different interventions with a defined budget. We analysed three interventions of preventing cardiovascular diseases, through doctor's advice on smoking secession, through blood-pressure-lowering drugs, and through lipid-lowering drugs. A state transition model has been used to estimate the cost–utility ratios for entire population in three different county councils in Sweden, where the populations were stratified into mutually excluding risk groups. The incremental cost–utility ratios are being presented in a league table and combined with the local resources and the local epidemiological data as a proxy for need for treatment. All interventions with an incremental cost–utility ratio exceeding the threshold ratios are excluded from being funded. The threshold varied between 1687 Euro and 6192 Euro. The general reallocation of resources between the three interventions was a 60% reduction of blood-pressure-lowering drugs with redistribution of resources to advice on smoking secession and to lipid-lowering drugs. One advantage of this method is that the results are very concrete. Recommendations can thereby be more precise which hopefully will create a public debate between decision-makers, practising physicians and patient groups.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- coronary-heart-disease
- randomized controlled-trial
- cost-effectiveness analysis
- hypertensive patients
- cholesterol levels
- blood-pressure
- monica project
- risk
- pravastatin
- stroke
- coronary heart disease
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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