A further report from the Health Foundation adopts a characteristically “blue-sky thinking” approach to tackling population health improvement. This report argues for a more ambitious, “whole-government” approach to long-term investment prioritising the nation’s health (as opposed to isolated reactive, crisis management strategies, which are criticised as short-termist and potentially storing-up future problems), with five broad recommendations. The main sections comprise:
- Introduction and context.
- Achieving good health for all: where are we now?
- What is the social and economic impact of poor health?
- Government, communities and business: the role of all sectors in creating health.
- Storing up problems for the future: the price of short-term approaches to government spending.
- In it for the long term: What is needed to embed health across the whole of government and beyond?
Elwell-Sutton, T. Tinson, A. [and] Greszczuk, C. [et al] (2019). Creating healthy lives: a whole-government approach to long-term investment in the nation’s health. London: Health Foundation, September 2019.
The EFFICHRONIC Study (NCT03840447)
Possibly of indirect interest, the Analysis of the Efficiency of a Chronic Disease Self-Management Programme in a Vulnerable Population in Five European Countries (EFFICHRONIC) trial involves an efficacy and cost-effectiveness evaluation of the Chronic Disease Self-Management Programme (CDSMP) intervention. CDSMP aims to assist persons with chronic (long-term) conditions, and / or their carers, in managing their own health. It is expected that CDSMP might achieve better health gains in people of low socioeconomic position (SEP), on the grounds that such citizens typically have fewer opportunities for healthy lifestyles, higher incidence of chronic conditions and a poorer health generally.
Benefits of the CDSMP intervention will be evaluated, across five European settings, in terms of (i) improvements in self-care regarding: healthy lifestyles, depression, sleep and fatigue, medication adherence, health-related quality of life, health literacy, communication with healthcare professionals, prevalence of perceived medical errors and satisfaction with CDSMP and (ii) estimated societal cost savings.
Tan, SS. Pisano, MM. [and] Boone, AL. [et al] (2019). Evaluation design of EFFICHRONIC: the Chronic Disease Self-Management Programme (CDSMP) intervention for citizens with a low socioeconomic position. International Journal of Environmental Research and Public Health. May 28th 2019; Vol.16(11). E1883.
Pilotto, A. Veronese, N. [and] Quispe Guerrero, KL. [et al]; EFFICHRONIC Consortium (2019). Development and validation of a self-administered multidimensional prognostic index to predict negative health outcomes in community-dwelling persons. Rejuvenation Research. August 2019; Vol.22(4): pp.299-305.