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A Scoping Review of Economic Evaluations to Inform the Reorientation of Preventive Health Services in Australia

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  • Rachael Taylor

    (Health Economics and Impact, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
    School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia)

  • Deborah Sullivan

    (Health Economics and Impact, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia)

  • Penny Reeves

    (Health Economics and Impact, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia)

  • Nicola Kerr

    (Health Promotion, Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia)

  • Amy Sawyer

    (Health Promotion, Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia)

  • Emma Schwartzkoff

    (Health Promotion, Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia)

  • Andrew Bailey

    (Research and Knowledge Translation Directorate, Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia)

  • Christopher Williams

    (Research and Knowledge Translation Directorate, Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia
    University Centre for Rural Health, School of Health Sciences, University of Sydney, 61 Uralba Street, Lismore, NSW 2480, Australia)

  • Alexis Hure

    (Health Economics and Impact, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
    School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia)

Abstract

The Australian National Preventive Health Strategy 2021–2030 recommended the establishment of evidence-based frameworks to enable local public health services to identify strategies and interventions that deliver value for money. This study aimed to review the cost-effectiveness of preventive health strategies to inform the reorientation of local public health services towards preventive health interventions that are financially sustainable. Four electronic databases were searched for reviews published between 2005 and February 2022. Reviews that met the following criteria were included: population: human studies, any age or sex; concept 1: primary and/or secondary prevention interventions; concept 2: full economic evaluation; context: local public health services as the provider of concept 1. The search identified 472 articles; 26 were included. Focus health areas included mental health ( n = 3 reviews), obesity ( n = 1), type 2 diabetes ( n = 3), dental caries ( n = 2), public health ( n = 4), chronic disease ( n = 5), sexual health ( n = 1), immunisation ( n = 1), smoking cessation ( n = 3), reducing alcohol ( n = 1), and fractures ( n = 2). Interventions that targeted obesity, type 2 diabetes, smoking cessation, and fractures were deemed cost-effective, however, more studies are needed, especially those that consider equity in priority populations.

Suggested Citation

  • Rachael Taylor & Deborah Sullivan & Penny Reeves & Nicola Kerr & Amy Sawyer & Emma Schwartzkoff & Andrew Bailey & Christopher Williams & Alexis Hure, 2023. "A Scoping Review of Economic Evaluations to Inform the Reorientation of Preventive Health Services in Australia," IJERPH, MDPI, vol. 20(12), pages 1-47, June.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:12:p:6139-:d:1172213
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    References listed on IDEAS

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