NDLI: Cost-benefit analysis to address runaway health care expenditures through lifestyle modification recommendations

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Cost-benefit analysis to address runaway health care expenditures through lifestyle modification recommendations

Content Provider	IEEE Xplore Digital Library
Author	Clanagan, S. Leese, A. Ferrier, T. Patel, S.
Copyright Year	2011
Description	Author affiliation: George Mason Univ. Department of Systems Engineering and O (Clanagan, S.) \|\| George Mason Univ. Department of Systems Engineeringand Op (Ferrier, T.) \|\| George Mason Univ (Leese, A.; Patel, S.)
Abstract	The cost of health care in the United States has been increasing at an annual rate of 9.8%, faster than the cost of living, since 1970. This is due to many factors, the most significant being preventable and manageable chronic conditions and diseases, known as comorbidities. These comorbidities are associated with individuals who classify as being overweight or obese, representing 68% of the United States population. This creates a strain on the health care system and the economy. Decreasing the number of overweight or obese individuals is necessary to reduce the prevalence of weight-related comorbidities. This can be accomplished through establishing and maintaining the proper energy balance between caloric intake and physical activity. The government leads many efforts to educate individuals on the importance of incorporating nutrition and physical activity. Since limited budgets for encouraging participation exist, a need exists for a system designed to assist policy makers in determining which age cohorts, or groups, given a level of adherence to recommendations, would result in the most benefit to stakeholders. An analysis was conducted to determine which 10-year age cohort(s) should be targeted for health promotion in efforts to reduce the prevalence of overweight and obese individuals. Each age cohort's participation and predicted weight loss was simulated using a validated weight prediction model. Weight loss resulted from partial cohort adherence to nutritional and physical activity recommendations. Design Alternatives were evaluated on effectiveness, determined by weight loss The analysis showed that if 30, 60, or 90 percent of a given cohort adhered to government recommendations, the 60-year age cohorts' outcome would result in the greatest benefit for the smallest cost. The remaining alternatives were ranked based on their cost benefit. A sensitivity analysis was conducted to determine if the results were sensitive to changes of the importance of the benefit measures. The results demonstrated that the 60-year age cohort was the best alternative in all cases.
Starting Page	198
Ending Page	203
File Size	746876
Page Count	6
File Format	PDF
ISBN	9781457704468
e-ISBN	9781457704475
DOI	10.1109/SIEDS.2011.5876880
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2011-04-29
Publisher Place	USA
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Diseases Government Predictive models Weight measurement Diabetes Heart lifestyle behavior risk management decision support tradeoff analysis
Content Type	Text
Resource Type	Article

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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