TY - JOUR PY - 2016// TI - Lack of cost-effectiveness analyses to address Healthy People 2020 priority areas JO - American journal of public health A1 - Neumann, Peter J. A1 - Farquhar, Megan A1 - Wilkinson, Colby L. A1 - Lowry, Mackenzie A1 - Gold, Marthe SP - 2205 EP - 2207 VL - 106 IS - 12 N2 - OBJECTIVES: To examine the extent to which recently published cost-utility analyses (cost-effectiveness analyses using quality-adjusted life-years to measure health benefits) have covered the leading health concerns in the US Department of Health and Human Services Healthy People 2020 report.

METHODS: We examined data in the Tufts Medical Center Cost-Effectiveness Analysis Registry, a database containing 5000 published cost-utility analyses published in the MEDLINE literature through 2014. We focused on US-based cost-utility analyses published from 2011 through 2014 (n = 687). Two reviewers scanned abstracts and met for a consensus on categorization of cost-utility analyses that addressed the specific priorities listed in the 12 Healthy People 2020 areas (n = 120).

RESULTS: Although 7.3% of recently published cost-utility analyses addressed key clinical preventive services, only about 2% of recently published cost-utility analyses covered each of the following Healthy People 2020 topics: reproductive and sexual health, nutrition/physical activity/obesity, maternal and infant health, and tobacco. Fewer than 1% addressed priorities such as injuries and violence, mental health or substance abuse, environmental quality, and oral health.

CONCLUSIONS: Few cost-utility analyses have addressed Healthy People 2020 priority areas. (Am J Public Health. Published online ahead of print September 15, 2016: e1-e3. doi:10.2105/AJPH.2016.303361).

Language: en

LA - en SN - 0090-0036 UR - http://dx.doi.org/10.2105/AJPH.2016.303361 ID - ref1 ER -