Beyond health promotion: reducing need and demand for medical care

A population's medical need represents its illness burden. Medical demand represents the service level requested for a particular need. Medical care costs are, in large part, a function of need and demand. Our review of health education programs designed to reduce health risks and reduce costs...

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Bibliographic Details
Published in:Health Affairs 1998-03, Vol.17 (2), p.70-84
Main Authors: Fries, J F, Koop, C E, Sokolov, J, Beadle, C E, Wright, D
Format: Article
Language:English
Subjects:
Age
Blood pressure
Chronic illnesses
Clinical outcomes
Consumer education
Cost control
Cost of Illness
Cost reduction
Delivery of Health Care, Integrated
Demand
Disease control
Disease Management
Disease prevention
Educational programs
Effectiveness
Health care
Health Care Coalitions
Health care delivery
Health care expenditures
Health care policy
Health Care Reform
Health Care Surveys
Health education
Health Education - organization & administration
Health Policy
Health promotion
Health Promotion - organization & administration
Health risks
Health services
Health Services Needs and Demand - economics
Health services utilization
Health status
Heart attacks
Humans
Hypotheses
Life expectancy
Models, Organizational
Morbidity
Population
Reforms
Responsibility
Risk management
Risk reduction
Self Care
Self-efficacy
Selfmanagement
Statistical analysis
Stroke
United States
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Description
Summary:A population's medical need represents its illness burden. Medical demand represents the service level requested for a particular need. Medical care costs are, in large part, a function of need and demand. Our review of health education programs designed to reduce health risks and reduce costs identified thirty-two programs with documented effectiveness, generally achieving claims reductions of 20 percent. Specific program features including chronic disease self-management, risk reduction, and increased self-efficacy appear important. A broadened definition of health promotion focused on increased personal responsibility for health-related actions and directed at improvement of long-term health outcomes also could reduce health care costs.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.17.2.70