Quantifying the added societal value of public health interventions in reducing health inequality
PHE ePoster Library. Love-Koh J. Sep 12, 2017; 186609; 158
James Love-Koh
James Love-Koh
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Abstract IntroductionWe propose a simple method for communicating the value of health inequality impacts of public health interventions. MethodData on costs and health outcomes of 134 interventions are extracted from NICE public health guidance and combined with information about the socioeconomic characteristics of the target population or disease. Changes in health inequality are estimated by adding the net health improvements for each socioeconomic group to their life expectancy. Using the results from a survey that quantified how averse the general public are to health inequality, we then estimated the societal value of the interventions on health inequality. ResultsMost public health interventions (69%) outdo existing activities in improving health and reducing health inequality. Summing across all interventions recommended by NICE revealed 23.2 million years of additional full health and a reduction in the life expectancy gap between the least healthy and most healthy from 13.8 to 13.3 years of full health. At the general public level of preference for health inequality reduction, this is equivalent in value to an additional 5.4 million years of full health. ConclusionsIt is possible to estimate the health inequality impacts of public health interventions based on readily available information about their cost, health effects and target population or disease. Information on health inequality impacts reveals the added societal value of investment in public health interventions over and above increasing population health. External funding details Funded by NICE
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