Danone Research, Scientific Affairs, Palaiseau, France.
Br J Nutr. 2012 Nov 14;108(9):1714-20. doi: 10.1017/S0007114512003704. Epub 2012 Sep 5.
Improving health through better nutrition of the population may contribute to enhanced efficiency and sustainability of healthcare systems. A recent expert meeting investigated in detail a number of methodological aspects related to the discipline of nutrition economics. The role of nutrition in health maintenance and in the prevention of non-communicable diseases is now generally recognised. However, the main scope of those seeking to contain healthcare expenditures tends to focus on the management of existing chronic diseases. Identifying additional relevant dimensions to measure and the context of use will become increasingly important in selecting and developing outcome measurements for nutrition interventions. The translation of nutrition-related research data into public health guidance raises the challenging issue of carrying out more pragmatic trials in many areas where these would generate the most useful evidence for health policy decision-making. Nutrition exemplifies all the types of interventions and policy which need evaluating across the health field. There is a need to start actively engaging key stakeholders in order to collect data and to widen health technology assessment approaches for achieving a policy shift from evidence-based medicine to evidence-based decision-making in the field of nutrition.
通过改善人口的营养状况来增进健康，可能有助于提高医疗保健系统的效率和可持续性。最近的一次专家会议详细探讨了营养经济学学科相关的一些方法学方面。目前，人们普遍认识到营养在保持健康和预防非传染性疾病方面的作用。然而，那些试图控制医疗保健支出的人的主要关注点往往集中在管理现有的慢性疾病上。在选择和制定营养干预措施的结果衡量标准时，确定更多相关的衡量维度和使用背景将变得越来越重要。将与营养相关的研究数据转化为公共卫生指导，提出了一个具有挑战性的问题，即在许多领域开展更务实的试验，这些领域将为卫生政策决策制定提供最有用的证据。营养是所有需要在整个卫生领域进行评估的干预措施和政策的典范。有必要开始积极让利益攸关方参与进来，以收集数据，并扩大卫生技术评估方法，以实现从循证医学到营养领域循证决策的政策转变。
