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ArticlePublication 2017Cost-Effectiveness of a Clinical Childhood Obesity Intervention
This study estimated the cost-effectiveness of the STAR (Study of Technology to Accelerate Research) trial, …
This study estimated the cost-effectiveness of the STAR (Study of Technology to Accelerate Research) trial, an electronic health record (EHR)-based decision support intervention for primary care providers. Using a microsimulation model, the authors estimated the impact of a national implementation of STAR from 2015 to 2025 among all pediatric primary care providers in the U.S. with fully functional EHRs. The study found that over 10 years, the intervention would reach 2 million children, with costs…
Costing Methods | Microsimulation | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Health Systems | Economics/Finance | Health/Medicine | Science/Technology | North America -
ArticlePublication 2015Cost Effectiveness of an Elementary School Active Physical Education Policy
While most elementary schools in the U.S. do require some physical education (PE), on average, …
While most elementary schools in the U.S. do require some physical education (PE), on average, students spend less than half of class time engaged in moderate-to-vigorous physical activity (MVPA). PE activity levels are lower when more class time is spent organizing students or reviewing rules, and when PE classes are led by classroom teachers instead of trained PE specialists. Policies aimed at increasing MVPA levels during PE class – “active PE” policies – have been…
Costing Methods | Health Outcomes | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Health Systems | Clinical Care | Economics/Finance | Food/Agriculture | Health/Medicine | North America -
ArticlePublication 2015Modeling the Cost Effectiveness of U.S. Child Care Policy Changes
Risk factors for obesity, including dietary habits, physical activity, and screen time behaviors develop in …
Risk factors for obesity, including dietary habits, physical activity, and screen time behaviors develop in early childhood, highlighting the importance of early intervention for obesity prevention. With nearly 70% of American preschool-aged children in out-of-home childcare facilities, these programs serve as an ideal intervention target. This study estimated the effect of hypothetical state-level regulations focused on beverage consumption, physical activity, and screen time. Using a simulation model, the authors found these regulatory changes would reach…
Costing Methods | Health Outcomes | Mathematical Models | Microsimulation | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Health Systems | Clinical Care | Education/Labor | Food/Agriculture | Government/Law | Health/Medicine | North America -
ArticlePublication 2015BMI and Healthcare Cost Impact of Eliminating Tax Subsidy for Advertising Unhealthy Food to Youth
Children in the U.S. are exposed to thousands of food-related TV advertisements, most of which …
Children in the U.S. are exposed to thousands of food-related TV advertisements, most of which promote nutritionally poor foods and drinks. Food marketers spend millions of dollars on youth-directed television each year, and these advertising expenditures are currently treated by the U.S. government as ordinary business expenses, meaning they receive a tax subsidy of nearly $80 million. This study estimated the cost-effectiveness of eliminating this tax subsidy. Using a simulation model, the authors found that…
Costing Methods | Health Outcomes | Microsimulation | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Social Determinants | Policy/Regulation | Culture/Society | Food/Agriculture | Government/Law | Health/Medicine | North America -
ArticlePublication 2015Severe Obesity in Adults Cost State Medicaid Programs Nearly $8 Billion in 2013
Efforts to control healthcare spending while expanding Medicaid must be informed by a better understanding …
Efforts to control healthcare spending while expanding Medicaid must be informed by a better understanding of the state-level medical costs associated with severe obesity. This study analyzed medical costs from the Medical Expenditure Panel Survey (MEPS) and matched them to state-level estimates of severe obesity, adjusting for self-report bias. The authors found that in 2013, severe obesity cost the U.S. $69 billion, which accounted for 60% of total obesity-related costs. Approximately 11% of the costs…
Costing Methods | Evidence Synthesis | Child/Nutrition | Chronic Disease/Risk | Health Systems | Health/Medicine | North America -
ReviewPublication 2016Strengthening Cost-Effectiveness Analysis for Public Health Policy
Many important opportunities to improve health lie outside the health sector and involve improving the …
Many important opportunities to improve health lie outside the health sector and involve improving the conditions in which we live and work: safe design and maintenance of roads, bridges, train tracks, and airports; control of environmental pollutants; occupational safety; healthy buildings; a safe and healthy food supply; safe manufacture of consumer products; a healthy social environment; and others. Faced with the overwhelming array of possibilities, U.S. decision makers need help identifying those that can contribute the…
Costing Methods | Preferences/Values | Priority Setting/Ethics | Cost-Effectiveness Analysis | Social Determinants | Environmental Health | Health Systems | Policy/Regulation | Climate/Environment | Economics/Finance | Food/Agriculture | Health/Medicine | North America -
ArticlePublication 2015Three Interventions That Reduce Childhood Obesity
Policy makers seeking to reduce childhood obesity must prioritize investment in treatment and primary prevention. …
Policy makers seeking to reduce childhood obesity must prioritize investment in treatment and primary prevention. The authors estimated the cost-effectiveness of seven interventions high on the obesity policy agenda: (1) a sugar-sweetened beverage excise tax, (2) elimination of the tax subsidy for advertising unhealthy food to children, (3) restaurant menu calorie labeling, (4) nutrition standards for school meals, (5) nutrition standards for all other food and beverages sold in schools, (6) improved early care and…
Costing Methods | Cost-Effectiveness Analysis | Child/Nutrition | Health Systems | Policy/Regulation | Clinical Care | Economics/Finance | Health/Medicine | North America -
ArticlePublication 2014Cost of a Primary Care-Based Childhood Obesity Prevention Intervention
This study evaluated the cost of a primary care-based obesity prevention intervention (High Five for …
This study evaluated the cost of a primary care-based obesity prevention intervention (High Five for Kids) for children ages 2-6 years, compared to usual care. U.S. pediatric guidelines recommend that childhood obesity counseling be done in primary care settings. The clinical trial aimed to modify children’s nutrition and TV viewing habits through a motivational interviewing intervention. The authors assessed the visit-related costs for children enrolled in the trial, and found that the mean costs for…
Costing Methods | Decision Analysis | Child/Nutrition | Chronic Disease/Risk | Clinical Care | Economics/Finance | Health/Medicine | North America -
ArticlePublication 2011Health and Economic Burden of the Projected Obesity Trends in the U.S. and the U.K.
This study used a simulation model to project the health and economic consequences of a …
This study used a simulation model to project the health and economic consequences of a continued rise in obesity in the U.S. and U.K. by 2030. Trends in excess weight gain were forecasted to lead to an increased burden of several diseases, most notably cardiovascular disease, diabetes, and cancer. The study projects that there will be 65 million more adults with obesity in the U.S., and 11 million more in the U.K., leading to an…
Costing Methods | Health Outcomes | Cost-Effectiveness Analysis | Child/Nutrition | Chronic Disease/Risk | Economics/Finance | Food/Agriculture | Health/Medicine | North America | Europe -
ArticlePublication 2021BMI-Related Healthcare Costs in the U.S.
This paper estimates continuous body mass index (BMI) related health care expenditures using data from …
This paper estimates continuous body mass index (BMI) related health care expenditures using data from the Medical Expenditure Panel Survey (MEPS) 2011-2016, adjusting BMI for self-report bias and controlling for potential confounding between BMI and medical expenditures. Costs are reported in $US 2019. The analysis found a J-shaped curve of medical expenditures by BMI, with higher costs for females and the lowest expenditures occurring at a BMI of 20.5 for adult females and 23.5 for…
Costing Methods | Child/Nutrition | Chronic Disease/Risk | North America
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