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Return on investment of public health interventions: a systematic review

Journal of epidemiology and community health (1979), 2017-08, Vol.71 (8), p.827-834 [Peer Reviewed Journal]

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing ;2017 BMJ Publishing Group ;Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. ;Copyright: 2017 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing ;Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2017 ;ISSN: 0143-005X ;EISSN: 1470-2738 ;DOI: 10.1136/jech-2016-208141 ;PMID: 28356325

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  • Title:
    Return on investment of public health interventions: a systematic review
  • Author: Masters, Rebecca ; Anwar, Elspeth ; Collins, Brendan ; Cookson, Richard ; Capewell, Simon
  • Subjects: Benefit cost analysis ; Cardiovascular disease ; Cost control ; Health care expenditures ; Health Promotion - economics ; Intervention ; Juvenile offenders ; Pharmacy ; Population ; Prevention ; Public health ; Public Health - economics ; Quality ; Review ; Studies ; Systematic review
  • Is Part Of: Journal of epidemiology and community health (1979), 2017-08, Vol.71 (8), p.827-834
  • Description: BackgroundPublic sector austerity measures in many high-income countries mean that public health budgets are reducing year on year. To help inform the potential impact of these proposed disinvestments in public health, we set out to determine the return on investment (ROI) from a range of existing public health interventions.MethodsWe conducted systematic searches on all relevant databases (including MEDLINE; EMBASE; CINAHL; AMED; PubMed, Cochrane and Scopus) to identify studies that calculated a ROI or cost-benefit ratio (CBR) for public health interventions in high-income countries.ResultsWe identified 2957 titles, and included 52 studies. The median ROI for public health interventions was 14.3 to 1, and median CBR was 8.3. The median ROI for all 29 local public health interventions was 4.1 to 1, and median CBR was 10.3. Even larger benefits were reported in 28 studies analysing nationwide public health interventions; the median ROI was 27.2, and median CBR was 17.5.ConclusionsThis systematic review suggests that local and national public health interventions are highly cost-saving. Cuts to public health budgets in high income countries therefore represent a false economy, and are likely to generate billions of pounds of additional costs to health services and the wider economy.
  • Publisher: England: BMJ Publishing Group Ltd
  • Language: English
  • Identifier: ISSN: 0143-005X
    EISSN: 1470-2738
    DOI: 10.1136/jech-2016-208141
    PMID: 28356325
  • Source: ProQuest One Psychology
    BMJ Journals (Open Access)
    AUTh Library subscriptions: ProQuest Central
    MEDLINE
    Alma/SFX Local Collection
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