Engleman S R, Forbes J F
Soc Sci Med. 1986;22(4):443-58. doi: 10.1016/0277-9536(86)90049-3.
Economic aspects of health education have, to date, received inadequate attention. An economic framework for discussing and evaluating health education is offered, with health education being placed in the already well established economic framework for assessing both health and education respectively. Health education is shown to yield both consumption and investment benefits. The application of cost-benefit analysis and cost-effectiveness analysis to health education activities is explored, and the reasons for the absence of successful applications of the cost-benefit technique to health education programmes are described. The somewhat greater scope for the application of cost-effectiveness analysis is then discussed. A detailed economic evaluation is provided of the North Karelia Project which was concerned with the prevention of cardiovascular disease. The inadequacy of the limited economic evaluation of that project is described and an attempt made to assess the true economic consequences of the project.
迄今为止，健康教育的经济层面尚未得到充分关注。本文提供了一个用于讨论和评估健康教育的经济框架，即将健康教育置于已成熟的分别评估健康和教育的经济框架之中。研究表明，健康教育既能产生消费效益，也能带来投资效益。本文探讨了成本效益分析和成本效果分析在健康教育活动中的应用，并阐述了成本效益技术未能成功应用于健康教育项目的原因。接着讨论了成本效果分析在应用方面相对更大的空间。本文对旨在预防心血管疾病的北卡累利阿项目进行了详细的经济评估。文中描述了该项目有限经济评估的不足之处，并尝试评估该项目的真实经济影响。
