Publicatie

Publicatie datum

Cost-effectiveness of selective cardiometabolic disease prevention in primary care.

Stol, D.M. Cost-effectiveness of selective cardiometabolic disease prevention in primary care. Utrecht: Nivel, 2020.
Download de PDF
Although selective cardiometabolic disease (CMD) prevention programs in primary care may be successful in detecting CMD and CMD risk factors, these programs are not cost-effective in the long run. Because CMD prevention is crucial for tackling the rising burden of CMD, we recommend universal prevention and ongoing opportunistic screening.

The government should play an important role in populationbased prevention, focusing on creating a healthier environment to reduce the number of smokers and obese people. Furthermore, an improvement of risk communication and improvement of (cost)-effective lifestyle interventions could contribute to more effective CMD prevention.

In conclusion, this thesis provides definitive proof that programmed selective CMD prevention in primary care is not cost-effective and that its large-scale implementation is not recommended.