当前位置： SCI文献检索 > AMERICAN JOURNAL OF PREVENTIVE MEDICINE期刊下所有文献 > The art and science of incorporating cost effectiveness into evidence-based recommendations for clinical preventive services.

The art and science of incorporating cost effectiveness into evidence-based recommendations for clinical preventive services.

Abstract：

:As medical technology continues to expand and the cost of using all effective clinical services exceeds available resources, decisions about health care delivery may increasingly rely on assessing the cost-effectiveness of medical services. Cost-effectiveness is particularly relevant for decisions about how to implement preventive services, because these decisions typically represent major investments in the future health of large populations. As such, decisions regarding the implementation of preventive services frequently involve, implicitly if not explicitly, consideration of costs. Cost-effectiveness analysis summarizes the expected benefits, harms, and costs of alternative strategies to improve health and has become an important tool for explicitly incorporating economic considerations into clinical decision making. Acknowledging the usefulness of this tool, the third U.S. Preventive Services Task Force (USPSTF) has initiated a process for systematically reviewing cost-effectiveness analyses as an aid in making recommendations about clinical preventive services. In this paper, we provide an overview and examples of roles for using cost-effectiveness analyses to inform preventive services recommendations, discuss limitations of cost-effectiveness data in shaping evidence-based preventive health care policies, outline the USPSTF approach to using cost-effectiveness analyses, and discuss the methods the USPSTF is developing to assess the quality and results of cost-effectiveness studies. While this paper focuses on clinical preventive services (i.e., screening, counseling, immunizations, and chemoprevention), the framework we have developed should be broadly portable to other health care services.

journal_name

Am J Prev Med

journal_title

American journal of preventive medicine

authors

Saha S,Hoerger TJ,Pignone MP,Teutsch SM,Helfand M,Mandelblatt JS,Cost Work Group, Third US Preventive Services Task Force.

doi

10.1016/s0749-3797(01)00260-4

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

36-43

issue

3 Suppl

eissn

0749-3797

issn

1873-2607

pii

S0749379701002604

journal_volume

20

pub_type

杂志文章

相关文献

AMERICAN JOURNAL OF PREVENTIVE MEDICINE文献大全
  • Moderating Effects of Weather-Related Factors on a Physical Activity Intervention.

    abstract：INTRODUCTION:The purpose of this study is to identify whether weather-related factors moderate the effect of a physical activity (PA) intervention. METHODS:Participants (N=204, 77% female, mean age 33 [SD=11] years, mean BMI 28.2 [SD=7.1]) from the Make Better Choices 1 trial, enrolled April 2005 to April 2008, were r...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.amepre.2018.01.025

    authors： Welch WA,Spring B,Phillips SM,Siddique J

    更新日期：2018-05-01 00:00:00

  • Adulthood stressors, history of childhood adversity, and risk of perpetration of intimate partner violence.

    abstract：BACKGROUND:More than half a million U.S. women and more than 100,000 men are treated for injuries from intimate partner violence (IPV) annually, making IPV perpetration a major public health problem. However, little is known about causes of perpetration across the life course. PURPOSE:This paper examines the role of "...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2010.10.016

    authors： Roberts AL,McLaughlin KA,Conron KJ,Koenen KC

    更新日期：2011-02-01 00:00:00

  • Contributors to excess infant mortality in the U.S. South.

    abstract：BACKGROUND:Infant mortality rates (IMRs) are disproportionally high in the U.S. South; however, the proximate contributors that could inform regional action remain unclear. PURPOSE:To quantify the components of excess infant mortality in the U.S. South by maternal race/ethnicity, underlying cause of death, and gestati...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2013.12.006

    authors： Hirai AH,Sappenfield WM,Kogan MD,Barfield WD,Goodman DA,Ghandour RM,Lu MC

    更新日期：2014-03-01 00:00:00

  • Patient-physician colorectal cancer screening discussions and screening use.

    abstract：BACKGROUND:Little is known about patient-physician colorectal cancer (CRC) screening discussions or how discussion content affects screening use. Analyses conducted in 2004-2005 of patient-physician CRC screening discussion content and its association with screening use are described. METHODS:A mailed survey and retro...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2006.04.010

    authors： Lafata JE,Divine G,Moon C,Williams LK

    更新日期：2006-09-01 00:00:00

  • Patterns of personal health practice: men and women in the United States.

    abstract：:This investigation examined the dimensionality of personal health practices among 1,171 men and 1,854 women included in a national probability sample of adults 20 to 64 years of age living in the coterminous United States. Data on a wide range of personal health behaviors were collected in the 1979 National Survey of ...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：

    authors： Ungemack JA

    更新日期：1994-01-01 00:00:00

  • Agricultural subsidies and the American obesity epidemic.

    abstract：:Government-issued agricultural subsidies are worsening obesity trends in America. Current agricultural policy remains largely uninformed by public health discourse. Although findings suggest that eliminating all subsidies would have a mild impact on the prevalence of obesity, a revision of commodity programs could hav...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章,评审

    doi：10.1016/j.amepre.2013.04.010

    authors： Franck C,Grandi SM,Eisenberg MJ

    更新日期：2013-09-01 00:00:00

  • Relation of Health Literacy to Exceeding the Labeled Maximum Daily Dose of Acetaminophen.

    abstract：INTRODUCTION:Acetaminophen is a commonly used analgesic/antipyretic; overdoses can lead to liver damage. Little is known about the relationship of health literacy to exceeding the recommended maximum daily dose (4 g). METHODS:Subjects were recruited at 23 U.S. malls in 2011. Health literacy was measured by Rapid Estim...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2015.11.005

    authors： Kaufman DW,Kelly JP,Battista DR,Malone MK,Weinstein RB,Shiffman S

    更新日期：2016-06-01 00:00:00

  • The built environment and physical activity levels: the Harvard Alumni Health Study.

    abstract：BACKGROUND:Physical activity is associated with better health, but many individuals are insufficiently active. Modifying the built environment may be an approach capable of influencing population-wide levels of physical activity, but few data exist from longitudinal studies that can minimize bias from active people cho...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2009.06.007

    authors： Lee IM,Ewing R,Sesso HD

    更新日期：2009-10-01 00:00:00

  • Child height and the risk of young-adult obesity.

    abstract：BACKGROUND:Childhood obesity is a major risk factor for adult obesity, and obese children tend to be taller than their normal-weight peers. PURPOSE:The aim of this study is to evaluate whether childhood height influences the probability that normal or overweight children become overweight young adults. METHODS:The st...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.amepre.2009.09.033

    authors： Stovitz SD,Hannan PJ,Lytle LA,Demerath EW,Pereira MA,Himes JH

    更新日期：2010-01-01 00:00:00

  • Physical activity, sedentary behavior, and postnatal depressive symptoms: a review.

    abstract：CONTEXT:Postnatal depression is highly prevalent in mothers. Although physical activity has been found to reduce the risk of depression in the general population, little is known regarding its link with postnatal depression. This review examined original research investigating the relationship between physical activity...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章,评审

    doi：10.1016/j.amepre.2013.04.004

    authors： Teychenne M,York R

    更新日期：2013-08-01 00:00:00

  • Unannounced simulated patients' observations of physician STD/HIV prevention practices.

    abstract：:Studies describing sexually transmitted disease (STD) and human immunodeficiency virus (HIV) prevention practices of primary care physicians have relied on physician or patient reports. This study describes physician STD/HIV prevention practices as observed by unannounced simulated patient evaluators (SPEs). SPEs visi...

    journal_title：American journal of preventive medicine

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：

    authors： Russell NK,Boekeloo BO,Rafi IZ,Rabin DL

    更新日期：1992-07-01 00:00:00

  • Community-Level Inequalities in Concussion Education of Youth Football Coaches.

    abstract：INTRODUCTION:USA Football has made the Heads Up Football (HUF) concussion education program available for coaches of youth football players. Existing evidence about the effectiveness of the HUF coach education program is equivocal. For HUF and other programs, there is growing concern that even effective interventions c...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2016.12.021

    authors： Kroshus E,Kerr ZY,Lee JGL

    更新日期：2017-04-01 00:00:00

  • Patient understanding of food labels: the role of literacy and numeracy.

    abstract：BACKGROUND:Comprehension of food labels can be important for patients, including those with chronic illness, to help follow dietary recommendations. Patient comprehension of food labels was examined, along with the relationship of comprehension to their underlying literacy and numeracy skills. METHODS:From June 2004 t...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2006.07.025

    authors： Rothman RL,Housam R,Weiss H,Davis D,Gregory R,Gebretsadik T,Shintani A,Elasy TA

    更新日期：2006-11-01 00:00:00

  • Barriers to influenza immunization in a low-income urban population.

    abstract：BACKGROUND:Although influenza immunization significantly reduces mortality from influenza, over one third of elderly Americans are not immunized each year. Low rates of immunization are particularly concerning among African-American low-income populations. Preliminary interviews suggested that fear of undisclosed ingre...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/s0749-3797(00)00263-4

    authors： Armstrong K,Berlin M,Schwartz JS,Propert K,Ubel PA

    更新日期：2001-01-01 00:00:00

  • U.S. Children Meeting Physical Activity, Screen Time, and Sleep Guidelines.

    abstract：INTRODUCTION:Physical inactivity, high screen time, and short sleep are targets of public health initiatives for children. However, few data exist on how many U.S. children meet guidelines for these behaviors-data vital to inform which needs greater targeting. This study describes national prevalence estimates of U.S. ...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2020.05.007

    authors： Friel CP,Duran AT,Shechter A,Diaz KM

    更新日期：2020-10-01 00:00:00

  • Arthritis, body mass index, and professional advice to lose weight: implications for clinical medicine and public health.

    abstract：BACKGROUND:Arthritis is the leading cause of disability in the United States. Obesity is a risk factor for arthritis, but the relationship between arthritis and weight has not been well characterized at the population level in the United States. Previous research shows that physicians often fail to advise their obese p...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2004.03.007

    authors： Mehrotra C,Naimi TS,Serdula M,Bolen J,Pearson K

    更新日期：2004-07-01 00:00:00

  • Adoption and implementation of strategies for diabetes management in primary care practices.

    abstract：BACKGROUND:Secondary and tertiary prevention of chronic illness is a major challenge for the United States healthcare system. Controlled studies show that interventions can enhance secondary prevention in primary care practices, but they shed little light on implementation of secondary prevention outside the experiment...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2007.04.001

    authors： Weiner BJ,Helfrich CD,Savitz LA,Swiger KD

    更新日期：2007-07-01 00:00:00

  • Improving Sickle Cell Transitions of Care Through Health Information Technology.

    abstract：INTRODUCTION:Transitions between inpatient and outpatient care and pediatric to adult care are associated with increased mortality for sickle cell disease (SCD) patients. As accurate and timely sharing of health information is essential during transitions, a health information technology (HIT)-enabled tool holds promis...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2016.02.004

    authors： Frost JR,Cherry RK,Oyeku SO,Faro EZ,Crosby LE,Britto M,Tuchman LK,Horn IB,Homer CJ,Jain A

    更新日期：2016-07-01 00:00:00

  • Heated Tobacco Products: Awareness and Ever Use Among U.S. Adults.

    abstract：INTRODUCTION:Heated tobacco products, also referred to as heat-not-burn tobacco, are among the latest products introduced to the market by the tobacco industry. However, data on heated tobacco product awareness and use from population-based probability surveys are limited. This study examines heated tobacco product awa...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2020.11.011

    authors： Azagba S,Shan L

    更新日期：2021-01-28 00:00:00

  • Disease outbreak detection system using syndromic data in the greater Washington DC area.

    abstract：BACKGROUND:Many infectious disease outbreaks, including those caused by intentional attacks, may first present insidiously as ill-defined syndromes or unexplained deaths. While there is no substitute for the astute healthcare provider or laboratorian alerting the health department of unusual patient presentations, susp...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/s0749-3797(02)00490-7

    authors： Lewis MD,Pavlin JA,Mansfield JL,O'Brien S,Boomsma LG,Elbert Y,Kelley PW

    更新日期：2002-10-01 00:00:00

  • Preventing HIV transmission: behavior and attitudes of medical house staff in a high-prevalence area.

    abstract：:Our objective was to evaluate human immunodeficiency virus (HIV) risk-factor assessment and counseling behavior in 86 medical house staff and to ascertain the effect of question format (closed versus open) on reported physician behaviors. We designed a cross-sectional survey using a self-report questionnaire; we recei...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：

    authors： Wheat ME,Hyman RB,Devons C,Solomon S

    更新日期：1993-09-01 00:00:00

  • Prevention of elderly suicide. Physicians' assessment of firearm availability.

    abstract：INTRODUCTION:Physicians have a unique role to play in the prevention of elder suicide, yet they may not be sufficiently attentive to the prominence of firearms in the rising trend in suicide by elder persons. This study sought to examine the extent to which physicians inquired about firearms with their depressed and su...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/s0749-3797(98)00019-1

    authors： Kaplan MS,Adamek ME,Rhoades JA

    更新日期：1998-07-01 00:00:00

  • A participatory physical activity intervention in preschools: a cluster randomized controlled trial.

    abstract：BACKGROUND:Previous studies on physical activity interventions in preschools have reported limited effectiveness. Participatory community-based approaches hold promise for increasing intervention effectiveness and involving parents as key stakeholders in a sustainable way. PURPOSE:To assess whether a participatory par...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.amepre.2013.01.032

    authors： De Bock F,Genser B,Raat H,Fischer JE,Renz-Polster H

    更新日期：2013-07-01 00:00:00

  • Data for building a national suicide prevention strategy: what we have and what we need.

    abstract：:Suicide is a leading cause of death in the U.S. As both the rate and number of suicides continue to climb, the country struggles with how to reverse this alarming trend. Using population-based data from publically available sources including the Web-based Injury Statistics Query and Reporting System, National Survey o...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2014.05.024

    authors： Colpe LJ,Pringle BA

    更新日期：2014-09-01 00:00:00

  • The CDC/Council of state and territorial epidemiologists applied epidemiology fellowship program: evaluation of the first 9 years.

    abstract：BACKGROUND:The Council of State and Territorial Epidemiologists (CSTE) implemented the Applied Epidemiology Fellowship (AEF) in 2003 to train public health professionals in applied epidemiology and strengthen applied epidemiology capacity within public health institutions to address the identified challenges. The CSTE ...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2014.07.022

    authors： Dick VR,Masters AE,McConnon PJ,Engel JP,Underwood VN,Harrison RJ

    更新日期：2014-11-01 00:00:00

  • The 18-month impact of special supplemental nutrition program for women, infants, and children food package revisions on diets of recipient families.

    abstract：BACKGROUND:Beginning in 2009, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) revised its food packages and provided more whole grains, fruits, and vegetables and fewer foods with high saturated fat content. However, knowledge of the impact of this policy shift on the diets of WIC part...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2014.01.021

    authors： Kong A,Odoms-Young AM,Schiffer LA,Kim Y,Berbaum ML,Porter SJ,Blumstein LB,Bess SL,Fitzgibbon ML

    更新日期：2014-06-01 00:00:00

  • Recruitment for the National Breast and Cervical Cancer Early Detection Program.

    abstract：BACKGROUND:To reduce disparities in breast and cervical cancer in the U.S., it is essential that programs such as CDC's National Breast and Cervical Cancer Early Detection Program (NBCCEDP) use evidence-based strategies. Recommendations for interventions to increase breast and cervical cancer screening have been dissem...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2011.11.001

    authors： Escoffery CT,Kegler MC,Glanz K,Graham TD,Blake SC,Shapiro JA,Mullen PD,Fernandez ME

    更新日期：2012-03-01 00:00:00

  • Lyme disease and preventive behaviors in residents of Nantucket Island, Massachusetts.

    abstract：BACKGROUND:To determine the age-specific prevalence of Lyme disease and whether preventive behaviors on Nantucket Island correlate with Lyme disease, we surveyed island residents. METHODS:A survey with questions on Lyme disease symptoms, history, and preventive behaviors was mailed to all residents. Respondents were s...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/s0749-3797(00)00315-9

    authors： Phillips CB,Liang MH,Sangha O,Wright EA,Fossel AH,Lew RA,Fossel KK,Shadick NA

    更新日期：2001-04-01 00:00:00

  • Senior medical students' attitudes toward choosing residency programs in primary care.

    abstract：:To investigate the associations between medical students' first choice for their graduate medical education specialty (primary care versus non-primary care) and both their sociodemographic characteristics and their perceptions of the importance of 44 factors related to that choice, we conducted a survey of the 1982 se...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：

    authors： Franklin RR,Samaha PA,Rice JC,Igras SM

    更新日期：1985-07-01 00:00:00

  • Employment and physical activity in the U.S.

    abstract：BACKGROUND:Physical inactivity is a risk factor for obesity, cardiovascular disease, hypertension, and other chronic diseases that are increasingly prevalent in the U.S. and worldwide. Time at work represents a major portion of the day for employed people. PURPOSE:To determine how employment status (full-time, part-ti...

    journal_title：American journal of preventive medicine

    pub_type： 杂志文章

    doi：10.1016/j.amepre.2011.03.019

    authors： Van Domelen DR,Koster A,Caserotti P,Brychta RJ,Chen KY,McClain JJ,Troiano RP,Berrigan D,Harris TB

    更新日期：2011-08-01 00:00:00