by Dave A. Chokshi and Thomas A. Farley
N Engl J Med 2012; 367:295-297; July 26, 2012
3 pp. 322 kB:
Although preventive approaches to disease are intuitively appealing – and frequently presented as a way to reduce costs – analyses have suggested that, as a whole, they are no more cost-effective than therapeutic interventions. But are some preventive approaches more cost-effective than others? Yet some preventive services, such as tobacco taxes or water fluoridation, are not delivered in health care settings. Understanding whether certain approaches are more cost-effective than others requires a framework for categorizing preventive interventions.