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Using simulation to compare 4 categories of intervention for reducing cardiovascular disease risks

Author

Listed:
  • Hirsch, G.
  • Homer, J.
  • Trogdon, J.
  • Wile, K.
  • Orenstein, D.

Abstract

The Prevention Impacts Simulation Model (PRISM) projects the multiyear impacts of 22 different interventions aimed at reducing risk of cardiovascular disease. We grouped these into 4 categories: clinical, behavioral support, health promotion and access, and taxes and regulation. We simulated impacts for the United States overall and also for a less-advantaged county with a higher death rate. Of the 4 categories of intervention, taxes and regulation reduce costs the most in the short term(through 2020) and long term(through 2040) and reduce deaths the most in the long term; they are second to clinical interventions in reducing deaths in the short term. All 4 categories combined were required to bring costs and deaths in the less-advantaged county down to the national level.

Suggested Citation

  • Hirsch, G. & Homer, J. & Trogdon, J. & Wile, K. & Orenstein, D., 2014. "Using simulation to compare 4 categories of intervention for reducing cardiovascular disease risks," American Journal of Public Health, American Public Health Association, vol. 104(7), pages 1187-1195.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301816_8
    DOI: 10.2105/AJPH.2013.301816
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    Cited by:

    1. Negar Darabi & Niyousha Hosseinichimeh, 2020. "System dynamics modeling in health and medicine: a systematic literature review," System Dynamics Review, System Dynamics Society, vol. 36(1), pages 29-73, January.
    2. Özge Karanfil & Niyousha Hosseinichimeh & Jim Duggan, 2020. "System dynamics and bio‐medical modeling," System Dynamics Review, System Dynamics Society, vol. 36(4), pages 389-396, October.
    3. John Pastor Ansah & Shawn Tan Yi Wei & Tessa Lui Shi Min, 2020. "An evaluation of the impact of aggressive diabetes and hypertension management on chronic kidney diseases at the population level: a simulation analysis," System Dynamics Review, System Dynamics Society, vol. 36(4), pages 497-522, October.

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