Future cost-effectiveness and equity of the NHS Health Check cardiovascular disease prevention programme: Microsimulation modelling using data from Liverpool, UK.
Christodoulos KypridemosBrendan CollinsPhilip McHaleHelen BromleyPaula ParvulescuSimon CapewellMartin O'FlahertyPublished in: PLoS medicine (2018)
According to our analysis of the situation in Liverpool, current NHS Health Check implementation appears neither equitable nor cost-effective. Optimal implementation is likely to be cost-saving but not equitable, while targeted implementation is likely to be both. Adding structural policies targeting cardiovascular risk factors could substantially improve equity and generate cost savings.
Keyphrases
- cardiovascular risk factors
- healthcare
- cardiovascular disease
- public health
- primary care
- quality improvement
- patient safety
- mental health
- cancer therapy
- metabolic syndrome
- global health
- type diabetes
- health promotion
- cross sectional
- machine learning
- risk assessment
- electronic health record
- clinical trial
- big data
- human health
- randomized controlled trial
- drug delivery
- coronary artery disease