The italian health surveillance (siveas) prioritization approach to reduce chronic disease risk factors.

Auteur(s) :
Rossi A., Mariotti S., Simoes EJ.
Date :
Août, 2012
Source(s) :
INT J PUBLIC HEALTH. #57:4 p719-733
Adresse :
Department of Health Management and Informatics, University of Missouri School of Medicine, CE707 CS&E Bldg., DC006.00, One Hospital Drive, Columbia, MO, 65212, USA, [email protected]

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OBJECTIVE: Because public health funds are limited, programs need to be prioritized.

METHODS: We used data on 15 risk factors from Italy’s public health surveillance to inform prioritization of programs. We ranked risk factors using a score based on the product of six criteria: deaths attributable to risk factors; prevalence of risk factors; risk factor prevalence trend; disparity based on the ratio of risk factor prevalence between low and high education attainment; level of intervention effectiveness; and cost of the intervention.

RESULTS: We identified seven priorities: physical inactivity; cigarette smoking (current smoking); ever told had hypertension; not having blood pressure screening; ever told had high cholesterol; alcohol (heavy drinking); not eating five fruits and vegetables a day; and not having a fecal occult blood test.

CONCLUSIONS: This prioritization method should be used as a tool for planning and decision making.

Source : Pubmed
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