Cost-effectiveness of nutritional counseling for obese patients and patients at risk of ischemic heart disease.

摘要: Objectives: Obesity and dyslipidemia are risk factors for ischemic heart disease, prevention treatment in primary care can reduce these risks. The objective of this cost-effectiveness analysis was to compare the costs effects (in terms life years gained) providing nutritional counseling by a general practitioner (GP) or dietician. Methods: A total 60 GPs, who accepted participate, were randomized either give refer patients dietician counseling. gained estimated using Cox regression model. Costs on basis registered use time (dieticians) agreed salaries (GPs). Results: effect comparing GPs dieticians is greatest when performed GP—0.0919 versus 0.0274 years. These appear be moderate, but they significant. It also proven that GP group most cost-effective—the cost gaining 1 extra year 8,213 DKK compared with group, which incremental ratio 59,987 DKK. Conclusions: other studies patient groups interventions report within same magnitude. cost-effective, it must concluded both strategies relatively cost-effective. Even though an might acceptable price.