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Jan 2018 ROI evidence on PH Interventions Systematic Review - Final clean version.pdf (611.14 kB)

A systematic review of economic evaluations of local authority commissioned preventative public health interventions in overweight and obesity, physical inactivity, alcohol and illicit drugs use and smoking cessation in the United Kingdom

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posted on 2023-06-09, 12:12 authored by Pam White, Helen Skirrow, Abraham George, Anjum MemonAnjum Memon
Background Since 2013, local authorities in England have been responsible for commissioning preventative public health interventions. The aim of this systematic review was to support commissioning by collating published data on economic evaluations and modelling of local authority commissioned public health preventative interventions in the UK. Methods Following the PRISMA protocol, we searched for economic evaluations of preventative intervention studies in four different areas: overweight and obesity, physical inactivity, alcohol and illicit drugs use and smoking cessation. The systematic review identified studies between January 1994 and February 2015, using five databases. We synthesized the studies to identify the key methods and examined results of the economic evaluations. Results The majority of the evaluations related to cost-effectiveness, rather than cost-benefit analyses or cost-utility analyses. These analyses found preventative interventions to be cost effective, though the context of the interventions differed between the studies. Conclusions Preventative public health interventions in general are cost-effective. There is a need for further studies to support justification of continued and/or increased funding for public health interventions. There is much variation between the types of economically evaluated preventative interventions in our review. Broader studies incorporating different contexts may help support funding for local authority-sponsored public health initiatives.

History

Publication status

  • Published

File Version

  • Accepted version

Journal

Journal of Public Health

ISSN

1741-3842

Publisher

Oxford University Press

Issue

4

Volume

40

Article number

e521-e530

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2018-02-19

First Open Access (FOA) Date

2019-02-16

First Compliant Deposit (FCD) Date

2018-02-16

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