ArticleBMC public health2018
A cost-effectiveness analysis of a community based CVD program in Sweden based on a retrospective register cohort.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
18 citing papers in PubMed.
- Trial
- Health behavioural change - the influence of social-ecological factors and health identity.International journal of qualitative studies on health and well-being · 2025Article
- Socio-geographical disparities in cardiometabolic multimorbidity in Sweden: an Intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (I-MAIHDA).International journal for equity in health · 2025Article
- Health determinants among participants in targeted health dialogues offered to all 40-year-old individuals in a metropolitan region of 1.4 million people.Scandinavian journal of primary health care · 2025Observational
- Nursing students' self-efficacy in lifestyle counselling: Associations with learning methods.PloS one · 2025Article
- Aggregation of cardiovascular risk factors in a cohort of 40-year-olds participating in a population-based health screening program in Sweden.Archives of public health = Archives belges de sante publique · 2024Article
- Article
- Obesity and its association with self-efficacy and metabolic risk factors by region of birth among 40-year-olds participating in the Swedish targeted health dialogues.Preventive medicine reports · 2024Article
- Effect of GP visits in the compliance of preventive services: a cross-sectional study in Europe.BMC primary care · 2024Article
- Review
- Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms.Preventive medicine reports · 2024Article
- Health care professionals' experiences and perceptions of health promotion through the health dialogue intervention in the scania region, Sweden: a qualitative interview study.BMC primary care · 2023Article
- Argument-based human-AI collaboration for supporting behavior change to improve health.Frontiers in artificial intelligence · 2023Article
- The Mediating Role of Healthy Lifestyle Behaviours on the Association between Perceived Stress and Self-Rated Health in People with Non-Communicable Disease.International journal of environmental research and public health · 2022Article
- High risk of cardiovascular side effects after treatment of Hodgkin's lymphoma - is there a need for intervention in long-term survivors?Upsala journal of medical sciences · 2021Article
- Cost of cardiovascular disease prevention: towards economic evaluations in prevention programs.Annals of translational medicine · 2020Article
- Health economic assessment of a scenario to promote bicycling as active transport in Stockholm, Sweden.BMJ open · 2019Article
- Flawed conclusions on the Västerbotten Intervention Program by San Sebastian et .al.BMC public health · 2019Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral large scale community-based cardiovascular disease prevention programs were initiated in the 80s, and one was the Västerbotten Intervention Programme, Sweden. As an initial step in 1985, a pilot study was introduced in the Norsjö municipality that combined individual disease prevention efforts among the middle-aged population with community-oriented health promotion activities. All citizens at 30, 40, 50, and 60 years of age were invited to a physical examination combined with a healthy dialogue at the local primary health care centre. Västerbotten Intervention Program is still running following the same lines and is now a part of the ordinary public health in the county. The purpose of this study is to estimate the costs of running Västerbotten Intervention Programme from 1990 to 2006, versus the health gains and savings reasonably attributable to the program during the same time period.
methodsA previous study estimated the number of prevented deaths during the period 1990-2006 which can be attributed to the programme. We used this estimate and calculated the number of QALYs gained, as well as savings in resources due to prevented non-fatal cases during the time period 1990 to 2006. Costs for the programmes were based on previously published scientific articles as well as current cost data from the county council, who is responsible for the programme.
resultThe cost per QALY gained from a societal perspective is SEK 650 (Euro 68). From a health care sector perspective, the savings attributable to the VIP exceeded its costs.
conclusionOur analysis shows that Västerbotten Intervention Programme is extremely cost-effective in relation to the Swedish threshold value (SEK 500000 per QALY gained or Euro 53,000 per QALY gained). Other research has also shown a favorable effect of Västerbotten Intervention Programme on population health and the health gap. We therefore argue that all health care organizations, acting in settings reasonably similar to Sweden, have good incentive to implement programs like Västerbotten Intervention Programme.
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