Costo-efectividad de la promoción de la salud en Chile: experiencia del programa íMirame! / Cost-effectiveness of health promotion in Chile: experience with íMirame! Program
Rev. méd. Chile
;
132(3): 361-370, mar. 2004. ilus, tab
Artigo
em Espanhol
| LILACS
| ID: lil-384180
RESUMO
Background:
íMirame! program was launched in Chile in 1993, to promote a healthy life style at school age.Aim:
To evaluate cost-effectiveness of this program. Material andmethods:
Fifth and sixth grade school children, from 5 selected municipalities of the Metropolitan Region were studied. The design was a quasi-experiment with an intervention (IP, 1,435 children) and reference population (RP, 1,246 children). Tobacco (T-C) and alcohol (OH-C) consumption were the indicators. A baseline survey was done in 1993 and repeated in 1996 in both groups. The criterion of Net Change was applied to assess effectiveness. For cost evaluation, an institutional perspective was considered. Direct municipal administration and "íMirame!" program costs were analyzed and incremental costs were calculated, using reference municipalities as controls. A univariate sensitivity analysis was done based on the beneficial discount rate and cost discount rate. Cost effectiveness coefficient was calculated.Results:
The incremental cost per each boy and girl prevented from OH-C was US$ 112 (103.6-114.3) and US$ 132 (129.9-133.3) respectively. The figures for each boy and girl prevented from T-C was US$ 154 (142.7-157.4) and US$ 130 (122.5-135.2) respectively. The program caused an additional cost per child, for the city hall of US$ 11.7 in two years.Conclusions:
It is possible to apply health promotion interventions in schools with a good cost effectiveness in the short run (Rev MÚd Chile 2004; 132 361-70).
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Custos de Cuidados de Saúde
/
Promoção da Saúde
Tipo de estudo:
Estudos de avaliação
/
Avaliação Econômica em Saúde
Limite:
Criança
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2004
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL
/
Universidad de Chile/CL
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