A Scoping Review of Economic Evaluations to Inform the Reorientation of Preventive Health Services in Australia

Rachael Taylor, Deborah Sullivan, Penny Reeves, Nicola Kerr, Amy Sawyer, Emma Schwartzkoff, Andrew Bailey, Christopher Williams and Alexis Hure ()
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Rachael Taylor: Health Economics and Impact, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
Deborah Sullivan: Health Economics and Impact, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
Penny Reeves: Health Economics and Impact, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
Nicola Kerr: Health Promotion, Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia
Amy Sawyer: Health Promotion, Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia
Emma Schwartzkoff: Health Promotion, Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia
Andrew Bailey: Research and Knowledge Translation Directorate, Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia
Christopher Williams: Research and Knowledge Translation Directorate, Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia
Alexis Hure: Health Economics and Impact, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia

IJERPH, 2023, vol. 20, issue 12, 1-47

Abstract: The Australian National Preventive Health Strategy 2021–2030 recommended the establishment of evidence-based frameworks to enable local public health services to identify strategies and interventions that deliver value for money. This study aimed to review the cost-effectiveness of preventive health strategies to inform the reorientation of local public health services towards preventive health interventions that are financially sustainable. Four electronic databases were searched for reviews published between 2005 and February 2022. Reviews that met the following criteria were included: population: human studies, any age or sex; concept 1: primary and/or secondary prevention interventions; concept 2: full economic evaluation; context: local public health services as the provider of concept 1. The search identified 472 articles; 26 were included. Focus health areas included mental health ( n = 3 reviews), obesity ( n = 1), type 2 diabetes ( n = 3), dental caries ( n = 2), public health ( n = 4), chronic disease ( n = 5), sexual health ( n = 1), immunisation ( n = 1), smoking cessation ( n = 3), reducing alcohol ( n = 1), and fractures ( n = 2). Interventions that targeted obesity, type 2 diabetes, smoking cessation, and fractures were deemed cost-effective, however, more studies are needed, especially those that consider equity in priority populations.

Keywords: economic evaluation; health services; prevention; local public health services; review; value-based healthcare (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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