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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 03244naa a2200349 4500 | |
| 001 | oai:DiVA.org:mdh-8067 | |
| 003 | SwePub | |
| 008 | 100211s2009 | |||||||||||000 ||eng| | |
| 009 | oai:prod.swepub.kib.ki.se:119157732 | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-80672 URI |
| 024 | 7 | a https://doi.org/10.1017/S02664623099900792 DOI |
| 024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1191577322 URI |
| 040 | a (SwePub)mdhd (SwePub)ki | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Johansson, Piau Karolinska Institutet4 aut |
| 245 | 1 0 | a A cost-effectiveness analysis of a community-based diabetes prevention program in Sweden |
| 264 | 1 | c 2009 |
| 338 | a print2 rdacarrier | |
| 520 | a OBJECTIVES: Lifestyle changes to prevent type 2 diabetes among high-risk persons have been shown to be cost-effective. This study investigates the cost-effectiveness of a community-based program promoting general population lifestyle changes to prevent diabetes. METHODS: The 10-year program was implemented in three municipalities in Sweden. Effectiveness was measured with a quasiexperimental cohort design, that is, risk factor levels in a population group aged 36-56 years at baseline and 8-10 years later (2,149 men; 3,092 women) in the program municipalities and a control area were compared. The incremental cost-utility analysis included future diabetes and cardiovascular disease-related health effects and societal costs (discounted 3 percent), estimated by a Markov model. RESULTS: In all areas, risk factor levels increased during follow-up, leading to increased societal costs of between SEK40,000 and 90,000 (1 Euro 2004 = SEK9.13; 1 US$ = SEK 7.35) and quality-adjusted life-year (QALY) losses between 0.12 and 0.48 per individual. Compared with the control area, the cost increases and QALY losses for women were more favorable in two program areas but less favorable in one, and less favorable for men in both areas (data unavailable for one municipality). The findings indicate that the program was cost-effective in only two female study groups. CONCLUSIONS: Conflicting results on the cost-effectiveness of the program were obtained. As several potentially valuable aspects of the program are not included in the cost-effectiveness analysis, the societal value of the program might not be adequately reflected. | |
| 700 | 1 | a Östensson, Claes-Göranu Karolinska Institutet4 aut |
| 700 | 1 | a Hilding, Agnetau Karolinska Institutet4 aut |
| 700 | 1 | a Andersson, Camilla4 aut |
| 700 | 1 | a Rehnberg, Claesu Karolinska Institutet4 aut |
| 700 | 1 | a Tillgren, Peru Karolinska Institutet,Mälardalens högskola,Akademin för hälsa, vård och välfärd4 aut0 (Swepub:mdh)ptn01 |
| 710 | 2 | a Karolinska Institutetb Akademin för hälsa, vård och välfärd4 org |
| 773 | 0 | t International Journal of Technology Assessment in Health Careg 25:3, s. 350-358q 25:3<350-358x 0266-4623x 1471-6348 |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-8067 |
| 856 | 4 8 | u https://doi.org/10.1017/S0266462309990079 |
| 856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:119157732 |
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