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Given the limited resources for preventive care, policy-makers need to consider the efficiency/cost-effectiveness of preventive measures, such as drugs and vaccines, when allocating preventive care resources. However, in many settings only limited information on lifetime costs and effects of preventive measures exists. Therefore, it seems useful to provide policy-makers with some simplifying rules when allocating preventive care resources. The purpose of this article is to investigate the relevance of risk and severity of the disease to be prevented for the optimal allocation of preventive care resources. The report shows - based on a constrained optimization model - that optimal allocation of preventive care resources does, in fact, depend on both factors. Resources should be allocated to the prevention of diseases with a higher probability of occurrence or larger severity. This article also identifies situations where preventive care resources should be allocated to the prevention of less severe disease.
Frankfurt School of Finance & Management, Frankfurt, Germany and Department of Public Health, Faculty of Medicine, Heinrich-Heine University, Düsseldorf, Germany. firstname.lastname@example.org.
This article was published in the following journal.
Name: Expert review of pharmacoeconomics & outcomes research
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Many components of the chronic care model can be successfully applied to preventive care, evidence shows. Here's how to do more with the resources you have.
ICU resources may be overwhelmed by a mass casualty event, triggering a conversion to Crisis Standards of Care in which critical care support is diverted away from patients least likely to benefit, wi...
This paper deals with the management of scarce health care resources. We consider a control problem in which the objective is to minimize the rate of patient rejection due to service saturation. The s...
Health care resource allocation is key towards attaining equity in the health system. However, health professionals' perceived impact and attitude towards health care resource allocation in Sub-Sahara...
"Aligning Resources to Care for Homeless Veterans" (ARCH) will study ways to best organize and deliver primary care for homeless Veterans. The investigators will assess 4 different adaptat...
We propose a feasibility study of aggressive CV risk factor management directed by preventive cardiology compared to usual care. We will determine: 1) the efficacy of a preventive cardiol...
It is recognized that a significant proportion of seniors over 75 years of age are at risk of functional decline, and thus of institutionalization and death. The investigators at McMaster...
The purpose of this study is to test the effectiveness of a collaborative model of team care as compared to usual care in improving functional outcomes among community-dwelling low-income ...
This study is a randomized controlled trial of an evidence based, patient specific web site's ability to improve preventive practices in pediatric care. Parents visit the website within 2...
Planning for the equitable allocation, apportionment, or distribution of available health resources.
Societal or individual decisions about the equitable distribution of available resources.
Maintenance of the hygienic state of the skin under optimal conditions of cleanliness and comfort. Effective in skin care are proper washing, bathing, cleansing, and the use of soaps, detergents, oils, etc. In various disease states, therapeutic and protective solutions and ointments are useful. The care of the skin is particularly important in various occupations, in exposure to sunlight, in neonates, and in PRESSURE ULCER.
Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.