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Ranking Preventive Interventions from Different Policy Domains: What Are the Most Cost-Effective Ways to Improve
Nina van der Vliet1,2, Anita W M Suijkerbuijk1, Adriana T de Blaeij1
1National Institute for Public Health and the Environment (RIVM), 3720 BA Bilthoven, The Netherlands.
This study identifies and ranks cost-effective preventive interventions across multiple sectors to improve public health. It provides policymakers with evidence-based options for efficient disease prevention beyond the traditional health sector.
Area of Science:
- Public Health
- Health Economics
- Intersectoral Policy
Background:
- Promoting public health and preventing diseases requires collaboration across diverse scientific disciplines and sectors.
- Implementing evidence-based preventive interventions faces budget challenges due to competing governmental expenditures.
- Cost-effectiveness analysis is crucial for prioritizing public health investments.
Purpose of the Study:
- To identify, compare, and rank cost-effective preventive interventions.
- To target metabolic, environmental, occupational, and behavioral risk factors.
- To aid policymakers in making informed decisions for intersectoral preventive actions.
Main Methods:
- Conducted a literature search of economic evaluations from Western countries not yet implemented in the Netherlands.
- Organized workshops with multidisciplinary experts.
- Identified and ranked 51 interventions based on incremental cost-effectiveness ratio (ICER) and averted disability-adjusted life years (DALYs).
Main Results:
- Identified 51 preventive interventions, with 13 found to be cost-saving.
- Developed rankings for cost-effectiveness and cost-saving interventions.
- Highlighted the potential for intersectoral collaboration in preventive health.
Conclusions:
- An intersectoral ranking approach can guide policymakers in implementing cost-effective preventive strategies.
- Prioritizing interventions considering both health and other sectors optimizes resource allocation.
- Evidence-based, cost-effective preventive actions are essential for disease prevention and public health improvement.
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