Greater Use Of Preventive Services In U.S. Health Care Could Save Lives At Little Or No Cost

Greater Use Of Preventive Services In U.S. Health Care Could Save Lives At Little Or No Cost
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DOI:
10.1377/hlthaff.2008.0701
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发表时间:
2010-09-01
期刊:
影响因子:
9.7
通讯作者:
Solberg, Leif I.
Solberg, Leif I.
中科院分区:
医学1区
文献类型:
--
作者:
Maciosek, Michael V.;Coffield, Ashley B.;Solberg, Leif I.

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关于预防性卫生服务是否省钱或是否是一项良好的投资,存在广泛的争论。本文分析了采用一套20个行之有效的预防服务,包括戒烟筛查,酒精滥用筛查和每日使用阿司匹林的估计成本,对估计的节省,可以产生。我们发现,在美国,更多地使用经过验证的临床预防服务可以避免每年超过200万生命年的损失。更重要的是,将这些服务的使用率从目前的水平提高到2006年的90%,将导致总共节省37亿美元,占美国的0.2%。S.个人医疗保健支出。这些研究结果表明,政策制定者应该寻求选择,使国家更多地使用经过验证的预防服务。
There is broad debate over whether preventive health services save money or represent a good investment. This paper analyzes the estimated cost of adopting a package of twenty proven preventive services-including tobacco cessation screening, alcohol abuse screening, and daily aspirin use-against the estimated savings that could be generated. We find that greater use of proven clinical preventive services in the United States could avert the loss of more than two million life-years annually. What's more, increasing the use of these services from current levels to 90 percent in 2006 would result in total savings of $3.7 billion, or 0.2 percent of U. S. personal health care spending. These findings suggest that policy makers should pursue options that move the nation toward greater use of proven preventive services.