Economics of Obesity - Learning from the Past to Contribute to a Better Future

被引:30
作者
Ananthapavan, Jaithri [1 ]
Sacks, Gary [2 ]
Moodie, Marj [1 ]
Carter, Rob [1 ]
机构
[1] Deakin Univ, Fac Hlth, Deakin Hlth Econ, Burwood, Vic 3125, Australia
[2] Deakin Univ, Fac Hlth, WHO Collaborating Ctr Obes Prevent, Burwood, Vic 3125, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
obesity; prevention; economic evaluation; priority setting; interventions; ASSESSING COST-EFFECTIVENESS; CHILDHOOD OBESITY; OVERWEIGHT; INTERVENTIONS; CHILDREN; FOOD; POLICY;
D O I
10.3390/ijerph110404007
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The discipline of economics plays a varied role in informing the understanding of the problem of obesity and the impact of different interventions aimed at addressing it. This paper discusses the causes of the obesity epidemic from an economics perspective, and outlines various justifications for government intervention in this area. The paper then focuses on the potential contribution of health economics in supporting resource allocation decision making for obesity prevention/treatment. Although economic evaluations of single interventions provide useful information, evaluations undertaken as part of a priority setting exercise provide the greatest scope for influencing decision making. A review of several priority setting examples in obesity prevention/treatment indicates that policy (as compared with program-based) interventions, targeted at prevention (as compared with treatment) and focused upstream on the food environment, are likely to be the most cost-effective options for change. However, in order to further support decision makers, several methodological advances are required. These include the incorporation of intervention costs/benefits outside the health sector, the addressing of equity impacts, and the increased engagement of decision makers in the priority setting process.
引用
收藏
页码:4007 / 4025
页数:19
相关论文
共 64 条
[1]  
Access Economics Pty Ltd, 2008, GROW COST OB 2008 3
[2]   Assessing cost-effectiveness in obesity: laparoscopic adjustable gastric banding for severely obese adolescents [J].
Ananthapavan, Jaithri ;
Moodie, Marjory ;
Haby, Michelle ;
Carter, Robert .
SURGERY FOR OBESITY AND RELATED DISEASES, 2010, 6 (04) :377-385
[3]  
[Anonymous], 2010, Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making
[4]  
[Anonymous], 2006, ACE OB ASS COST EFF
[5]  
[Anonymous], 2010, ACE PREVENTION FINAL
[6]  
[Anonymous], 2002, Methods for The Economic Evaluation of Health Care Programmes
[7]  
[Anonymous], 2004, STRAT SURV GUID
[8]  
Barrett J., 2013, P AM PUBL HLTH ASS 2
[9]   Systematic review of the effectiveness of weight management schemes for the under fives [J].
Bond, M. ;
Wyatt, K. ;
Lloyd, J. ;
Taylor, R. .
OBESITY REVIEWS, 2011, 12 (04) :242-253
[10]  
Cadilhac DA., 2009, The health and economic benefits of reducing disease risk factors