We found little evidence of effectiveness of HRLAs for promotion of exercise/improved diets .
Conclusions Overall , there is limited evidence suggesting that HRLAs are cost-effective in terms of changing health-related knowledge , behaviours or health outcomes .
The evidence that does exist indicates that HRLAs are only cost-effective when they target behaviours likely to have a large impact on overall health-related quality of life .
Background Development of new peer or lay health-related lifestyle advisor ( HRLA ) roles is one response to the need to enhance public engagement in , and improve cost-effectiveness of , health improvement interventions .
This article synthesis es evidence on the cost-effectiveness of HRLA interventions aim ed at adults in developed countries , derived from the first systematic review of the effectiveness , cost-effectiveness , equity and acceptability of different types of HRLA role .
An economic model of the long-term health care burden of Type II diabetes
Abstract . Aims /hypothesis : To develop a long-term economic model of health care for Type II diabetes initially for the United Kingdom ; characterize experiences of diabetes-related morbidities and the use of health care re sources among a typical Type II diabetes cohort ; to estimate lifetime differences in expected health outcomes and costs attributable to Type II diabetes ; and to facilitate evaluation of policies or interventions in treating Type II diabetes from the funder 's perspective . Methods : A compact spreadsheet structure of interconnected Markov chain modules was developed to facilitate rapid estimation of costs and outcomes for whole population s. Recent clinical findings from the United Kingdom Prospect i ve Diabetes Study and other sources were incorporated and a detailed costing module developed from United Kingdom observational data . Results : The model allows the assessment of costs and long-term complications experienced by people suffering from Type II diabetes , including direct health care costs associated with the main diabetic complications and second-order effects on other health services required by such patients . Initial results suggest that the lifetime cost of health care for patients from the diagnosis of diabetes is more than double that for an equivalent non-diabetic population . Conclusion /interpretation : The model is intended for use by health care policy makers and payers to assess the long-term budgetary impact of trends in a variety of demographic and epidemiological factors on future services , and is also useful to physicians when considering the impact of new treatment strategies or programmes to modify risk factors for diabetic complications . [ Diabetologia ( 2001 ) 44 : 2140–2155
We found little evidence of effectiveness of HRLAs for promotion of exercise/improved diets .
Conclusions Overall , there is limited evidence suggesting that HRLAs are cost-effective in terms of changing health-related knowledge , behaviours or health outcomes .
The evidence that does exist indicates that HRLAs are only cost-effective when they target behaviours likely to have a large impact on overall health-related quality of life .
Background Development of new peer or lay health-related lifestyle advisor ( HRLA ) roles is one response to the need to enhance public engagement in , and improve cost-effectiveness of , health improvement interventions .
This article synthesis es evidence on the cost-effectiveness of HRLA interventions aim ed at adults in developed countries , derived from the first systematic review of the effectiveness , cost-effectiveness , equity and acceptability of different types of HRLA role .