Cost effectiveness and equity of a community based cardiovascular disease prevention programme in Norsjö, Sweden.

摘要: STUDY OBJECTIVE: To evaluate the cost effectiveness and equity of a community based cardiovascular disease prevention programme. DESIGN: A prospective cross sectional design. SETTING: intervention to reduce in district Norsjo (n = 5500), Sweden. The was aimed at both general population individuals thought be special risk, emphasis being on changing dietary habits reducing cholesterol concentrations. PARTICIPANTS: participants were men women aged 30-60 years. MAIN RESULTS: mean serum concentration reduced by nearly 20% during first six years intervention. It estimated that programme9s overall total societal costs 363,000 pounds estimates per year life saved ranged from 14,900 net savings, according different assumptions. Taking only health care savings into account, 1100 4050 pounds. results varied between sex age groups, but not social classes. Even if causal relationship exists low concentrations excess mortality, side effects lowering values negligible comparison with expected benefits. CONCLUSIONS: seems effective even under conservative approach used have benefited all Cost analyses take consequences for account are valuable tools decision making.