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The Future for Health Promotion$
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Colin Palfrey

Print publication date: 2018

Print ISBN-13: 9781447341239

Published to Policy Press Scholarship Online: January 2019

DOI: 10.1332/policypress/9781447341239.001.0001

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PRINTED FROM POLICY PRESS SCHOLARSHIP ONLINE (www.policypress.universitypressscholarship.com). (c) Copyright Policy Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in PPSO for personal use.date: 18 May 2022

Health economics and health promotion

Health economics and health promotion

(p.113) Five Health economics and health promotion
The Future for Health Promotion

Colin Palfrey

Policy Press

This chapter examines the techniques used by health economists to evaluate the value for money of health promotion initiatives. It first provides an overview of concepts related to economics and health economics, including efficiency, equality, equity and accessibility. Efficiency can be evaluated in terms of cost-minimisation, cost-effectiveness, cost-benefit and cost-utility. The chapter then considers the various rationing strategies by which the NHS can try to reduce expenditure, the use of QALYs to compare the cost-effectiveness of health promotion projects, and conjoint analysis. It also explains how health economists calculate the cost to society of unhealthy lifestyles such as obesity and smoking, and goes on to tackle the question of prevention vs cure in health promotion, the expenditure on the NHS, and the limitations of health economics in evaluation of health promotion endeavours. The chapter concludes with an assessment of how to estimate the costs of health promotion.

Keywords:   health promotion cost, health economics, cost-effectiveness, cost-benefit, cost-utility, QALYs, unhealthy lifestyles, prevention, NHS expenditure, cure

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