title: The opportunities for and obstacles against prevention: the example of Germany in the areas of tobacco and alcohol.
abstract: BACKGROUND
  Recent years have seen a growing research and policy interest in prevention in many developed countries. However, the actual efforts and resources devoted to prevention appear to have lagged well behind the lip service paid to the topic.
  
  
  CONCLUSIONS
  We review the evidence on the considerable existing scope for health gains from prevention as well as for greater prevention policy efforts in Germany. We also discuss the barriers to "more and better" prevention and provide modest suggestions about how some of the obstacles could be overcome.
  
  
  CONCLUSIONS
  In Germany, there are substantial health gains to be reaped from the implementation of evidence-based, cost-effective preventive interventions and policies. Barriers to more prevention include social, historical, political, legal and economic factors. While there is sufficient evidence to scale up prevention efforts in some public health domains in Germany, in general there is a comparative shortage of research on non-clinical preventive interventions. Some of the existing barriers in Germany are at least in principle amenable to change, provided sufficient political will exists. More research on prevention by itself is no panacea, but could help facilitate more policy action. In particular, there is an economic efficiency-based case for public funding and promotion of research on non-clinical preventive interventions, in Germany and beyond, to confront the peculiar challenges that set this research apart from its clinical counterpart.
authors: London School of Economics and Political Science, UK.
authors: Ulla
authors: U
authors: Walter
authors: Marc
authors: M
authors: Suhrcke
authors: Miriam G
authors: MG
authors: Gerlich
authors: Till A
authors: TA
authors: Boluarte
mesh_terms: D000437:Alcoholism / Q000517:prevention & control*; D001294:Attitude to Health; D005858:Germany; D006293:Health Promotion; D006801:Humans; D011050:Policy Making; D011640:Public Policy; D012907:Smoking / Q000331:legislation & jurisprudence; D000074606:Smoking Prevention