[Health in older age: cost of illness and cost-effectiveness of prevention].
The objective of prevention is to avoid or to delay health impairments and diseases. For older people it is important to maintain their independence and to avoid and reduce the need for external help such as nursing care. Good starting points are the strategies for healthy life-style. Physical activity, smoking abstinence, and normal weight have proven to have their positive medical and economic effect on many chronic diseases such as type 2 diabetes mellitus, cardiovascular diseases, and certain types of dementia. The potential of prevention increases as those diseases affect one another. As for other health care, the cost-effectiveness of preventive measures must also be examined. There are few German studies addressing the cost-benefit of the non-medication prevention. Results from international studies can only partly be transferred to the German context. The cost-effectiveness for prevention for elderly people has been very rarely researched. Research in the field of prevention is so far not very well developed as for other health fields. There is a need for more specific research for methods, interventions and target groups. In health economics major challenges arise from different time schedules and various purchasers, as well as from the evaluation of human capital for elderly.
Brandes
I
I
Stiftungslehrstuhl Prävention und Rehabilitation in der System- und Versorgungsforschung, Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover, Hannover, Germany. Brandes.Iris@mh-hannover.de
Walter
U
U
D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000191:economics / Q000517:prevention & control*; D003362:Cost-Benefit Analysis; D015577:Geriatric Assessment; D005858:Germany; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006792:House Calls / Q000191:economics; D006801:Humans; D009313:National Health Programs / Q000191:economics*; D020380:Needs Assessment / Q000191:economics; D011314:Preventive Health Services / Q000191:economics*
Internist (Berl). 1998 Sep;39(9):943-54
9788116
Unfallchirurg. 2002 Dec;105(12):1076-87
12486574
Internist (Berl). 2004 Feb;45(2):189-95
14991161
Vaccine. 2006 Nov 17;24(47-48):6812-22
17034909
Gesundheitswesen. 2004 Mar;66(3):146-52
15088216
Dtsch Med Wochenschr. 2006 Mar 3;131(9):453-7
16493571
Psychiatr Prax. 2001 Jul;28 Suppl 1:S12-20
11533902
Z Kardiol. 2005;94 Suppl 3:III/100-4
16258785
Z Kardiol. 2002;91 Suppl 2:49-60
12436765
Z Gerontol Geriatr. 2001 Apr;34(2):108-15
11393002
Public Health. 2006 Aug;120(8):742-51
16824563
Z Gerontol Geriatr. 2001 Apr;34(2):116-21
11393003
Aust N Z J Public Health. 2000 Jun;24(3):265-71
10937402
Eur J Health Econ. 2006 Dec;7(4):238-46
16763802
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2006 Jun;49(6):537-46
16673071
Lancet. 2003 Mar 1;361(9359):717-25
12620735
Gesundheitswesen. 2004 Nov;66(11):732-8
15562343
Dtsch Med Wochenschr. 2002 May 10;127(19):1039-41
11997875
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2006 Feb;49(2):167-74
16416109
Internist (Berl). 2004 Feb;45(2):139-47
14991155
Z Gerontol Geriatr. 2003 Oct;36(5):378-91
14579065
Gesundheitswesen. 2004 May;66(5):346-51
15141356
Dtsch Med Wochenschr. 2001 May 18;126(20):585-9
11402924
JAMA. 2002 Feb 27;287(8):1022-8
11866651