Cost-effectiveness of the SLIMMER diabetes prevention intervention in Dutch primary health care: economic evaluation from a randomised controlled trial
Duijzer, Geerke ; Bukman, Andrea J. ; Meints-Groenveld, Aafke ; Haveman-Nies, Annemien ; Jansen, Sophia C. ; Heinrich, Judith ; Hiddink, Gerrit J. ; Feskens, Edith J.M. ; Wit, G.A. de - \ 2019
BMC Health services research 19 (2019)1. - ISSN 1472-6963 - 1 p.
Cost-effectiveness - Diabetes - Economic evaluation - Lifestyle intervention - Prevention
BACKGROUND: Although evidence is accumulating that lifestyle modification may be cost-effective in patients with prediabetes, information is limited on the cost-effectiveness of interventions implemented in public health and primary health care settings. Evidence from well-conducted pragmatic trials is needed to gain insight into the realistic cost-effectiveness of diabetes prevention interventions in real-world settings. The aim of this study is to assess the cost-effectiveness of the SLIMMER lifestyle intervention targeted at patients at high risk of developing type 2 diabetes compared with usual health care in a primary care setting in the Netherlands. METHODS: Three hundred and sixteen high-risk subjects were randomly assigned to the SLIMMER lifestyle intervention or to usual health care. Costs and outcome assessments were performed at the end of the intervention (12 months) and six months thereafter (18 months). Costs were assessed from a societal perspective. Patients completed questionnaires to assess health care utilisation, participant out-of-pocket costs, and productivity losses. Quality Adjusted Life Years (QALY) were calculated based on the SF-36 questionnaire. Cost-effectiveness planes and acceptability curves were generated using bootstrap analyses. RESULTS: The cost-effectiveness analysis showed that the incremental costs of the SLIMMER lifestyle intervention were €547 and that the incremental effect was 0.02 QALY, resulting in an incremental cost-effectiveness ratio (ICER) of €28,094/QALY. When cost-effectiveness was calculated from a health care perspective, the ICER decreased to €13,605/QALY, with a moderate probability of being cost-effective (56% at a willingness to pay, WTP, of €20,000/QALY and 81% at a WTP of €80,000/QALY). CONCLUSIONS: The SLIMMER lifestyle intervention to prevent type 2 diabetes had a low to moderate probability of being cost-effective, depending on the perspective taken. TRIAL REGISTRATION: The SLIMMER study is retrospectively registered with ClinicalTrials.gov (Identifier NCT02094911) since March 19, 2014.
Pantanal-Taquari: tools for decision making in integrated water management
Jongman, R.H.G. ; Eupen, M. van; Makaske, B. ; Rooij, S.A.M. van; Groenveld, G.H. ; Querner, E.P. ; Jonker, R.N.J. ; Padovani, C. ; Tomás, W. ; Kawakami de Resende, E. ; Capella, A. ; Soriano, B. ; Galdino, S. ; Salis, S. ; Mosselman, E. ; Kappel, B. van; Ververs, M. ; Stolker, C. ; Haasnoot, M. ; Maathuis, B. ; Boerboom, L. ; Hein, S. ; Berends, H.A. - \ 2006
Wageningen : Alterra (Alterra-rapport 1295) - 215
waterbeheer - besluitvorming - inundatie - biodiversiteit - savannen - wetlands - modellen - brazilië - integraal waterbeheer - water management - decision making - flooding - biodiversity - savannas - wetlands - models - brazil - integrated water management
Final report (draft) of the project carried out in the framework of the Dutch involvement of World Water Forum; Alterra in cooperation with ITC, Arcadis, WL Delft Hydraulics and Regenboog Advies
|Standaardlijst voor de Nederlandse namen van de Europese amfibiëen en reptielen; middelste groene kikker wordt bastaardkikker
Strijbosch, H. ; Stumpel, A.H.P. ; Creemers, R.C.M. ; Delft, J.J.C.W. van; Groenveld, A. ; Bauwens, D. - \ 2005
RAVON 7 (2005)3. - p. 65 - 72.
|In vitro fermentation characteristics of soya bean cell walls separated from hulls and endosperm.
Laar, H. van; Tamminga, S. ; Williams, B.A. ; Boer, H. ; Diekema, B. ; Burgers, W. ; Groenveld, D. ; Hoogendoorn, M. - \ 1998
In: Proc. British Society of Animal Science, 23-25 March, Scarborough, UK - p. 122 - 122.
Stikstofwerking bij zodebemesting en zode-iinjektie in het voorjaar
Groenveld, E.B. - \ 1991
Praktijkonderzoek / Praktijkonderzoek Rundvee, Schapen en Paarden (PR), Waiboerhoeve 4 (1991)1. - ISSN 0921-8874 - p. 56 - 59.
In dit artikel worden de eerste resultaten besproken van maaiproeven waarin dunne rundermest in het voorjaar is toegediend op veen-, klei-, en zandgrasland.
Investment for food
Groenveld, D. - \ 1961
Wageningen University. Promotor(en): T.L.M. Thurlings. - Amsterdam : North-Holland - 146
overheidsbeleid - voedselvoorziening - voeding - kapitaalvorming - financiën - agrarische bedrijfsvoering - economie - voedingsmiddelen - voedselproductie - land - ontginning - landbouw - landbouwproductie - investering - kosten-batenanalyse - economische evaluatie - gebruikswaarde - economische impact - government policy - food supply - nutrition - capital formation - finance - farm management - economics - foods - food production - land - reclamation - agriculture - agricultural production - investment - cost benefit analysis - economic evaluation - use value - economic impact
Groenveld attempted to show the magnitude of investments in agriculture, which were necessary to meet the increasing world demand for food. The formula S = K/Y (ΔN +ΔH) was assumed as a description that for a community the proportion of national income saved and invested must equal the product of proportional increase in population plus increase in income per head, and of the capital coefficient. Thus ensued the problem of allocating investments in agriculture and other sectors of the economy. In private investment decisions involved many people. For public investment decisions were usually central. But public complemented private investment. The figures for future demand for food were based on population size and estimated population growth, income per head and expected increase of it and income elasticity of food costs. Changes in supply through rise in production from an increase in productivity were distinguished from changes through enlargement of agricultural area. Extrapolation of production from the period 1950-60 until the year 1980 showed that investments in Asia (other than China and the Soviet Union), Africa and Latin America should be about 10% higher to keep pace with demand for agricultural products. Groenveld believed the solution could be to raise public investment, which he then estimated to be about the same size as the private investments.