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The Limitations and Potentials of Evaluating Economic Aspects of Community-Based Health Promotion: A Critical Review.
Weber, Philipp; Birkholz, Leonie; Straub, Riccarda; Kohler, Simone; Helsper, Natalie; Dippon, Lea; Pfeifer, Klaus; Rütten, Alfred; Semrau, Jana.
Afiliación
  • Weber P; Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058, Erlangen, Germany. phil.weber@fau.de.
  • Birkholz L; Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058, Erlangen, Germany.
  • Straub R; School of Business, Economics and Society, Chair of Health Management, Friedrich-Alexander-Universität Erlangen-Nürnberg, Lange Gasse 20, 90403, Nuremberg, Germany.
  • Kohler S; Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058, Erlangen, Germany.
  • Helsper N; Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058, Erlangen, Germany.
  • Dippon L; Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058, Erlangen, Germany.
  • Pfeifer K; Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058, Erlangen, Germany.
  • Rütten A; Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058, Erlangen, Germany.
  • Semrau J; Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058, Erlangen, Germany.
Appl Health Econ Health Policy ; 22(2): 165-179, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38190019
ABSTRACT
Community-based health promotion (CBHP) interventions are promising approaches to address public health problems; however, their economic evaluation presents unique challenges. This review aims to explore the opportunities and limitations of evaluating economic aspects of CBHP, focusing on the assessment of intervention costs and outcomes, and the consideration of political-level changes and health equity. A systematic search of the PubMed, Web of Science and PsycInfo databases identified 24 CBHP interventions, the majority of which targeted disadvantaged communities. Only five interventions included a detailed cost/resource assessment. Outcomes at the operational level were mainly quantitative, related to sociodemographics and environment or health status, while outcomes at the political level were often qualitative, related to public policy, capacity building or networks/collaboration. The study highlights the limitations of traditional health economic evaluation methods in capturing the complexity of CBHP interventions. It proposes the use of cost-consequence analysis (CCA) as a more comprehensive approach, offering a flexible and multifaceted assessment of costs and outcomes. However, challenges remain in the measurement and valuation of outcomes, equity considerations, intersectoral costs and attribution of effects. While CCA is a promising starting point, further research and methodological advancements are needed to refine its application and improve decision making in CBHP.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Promoción de la Salud Tipo de estudio: Health_economic_evaluation / Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Humans Idioma: En Revista: Appl Health Econ Health Policy Asunto de la revista: SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Nueva Zelanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Promoción de la Salud Tipo de estudio: Health_economic_evaluation / Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Humans Idioma: En Revista: Appl Health Econ Health Policy Asunto de la revista: SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Nueva Zelanda