HealthPartners Research Foundation, Minneapolis, MN, USA.
Health Aff (Millwood). 2010 Sep;29(9):1656-60. doi: 10.1377/hlthaff.2008.0701.
There is broad debate over whether preventive health services save money or represent a good investment. This paper analyzes the estimated cost of adopting a package of twenty proven preventive services--including tobacco cessation screening, alcohol abuse screening, and daily aspirin use--against the estimated savings that could be generated. We find that greater use of proven clinical preventive services in the United States could avert the loss of more than two million life-years annually. What's more, increasing the use of these services from current levels to 90 percent in 2006 would result in total savings of $3.7 billion, or 0.2 percent of U.S. personal health care spending. These findings suggest that policy makers should pursue options that move the nation toward greater use of proven preventive services.
关于预防保健服务是否省钱或是否是一项好投资，存在广泛的争论。本文分析了采用一整套 20 种已证实的预防服务的估计费用，包括戒烟筛查、酗酒筛查和每日使用阿司匹林，以及由此产生的估计节省。我们发现，在美国更多地使用经过验证的临床预防服务每年可以避免超过 200 万人失去生命。更重要的是，如果将这些服务的使用从目前的水平提高到 2006 年的 90%，则总共可以节省 37 亿美元，占美国个人医疗保健支出的 0.2%。这些发现表明，政策制定者应该寻求使国家更多地采用经过验证的预防服务的选择。
