Volume 10 — February 14, 2013
An Integrated Framework for Assessing the Value of Community-Based Prevention: A Report of the Institute of Medicine
A new framework is proposed for valuing community-based prevention interventions. This framework takes a comprehensive view of both the benefits and harms in the 3 major domains of health, community well-being, and community process as well as a comprehensive view of the resource use (both savings and costs) associated with such interventions. The framework then proposes a summary metric called “community benefit” that summarizes the value assigned to the 3 domains of health. It also assigns a summary metric on the cost side called the “community costs.” Finally, the framework considers the value metric of community-based prevention initiatives as the ratio of community benefit to community costs, which ultimately reflects a comprehensive view of all benefits, harms, savings, and costs of the interventions considered.
Figure. Framework for assessing the value of community-based prevention interventions, 2012. Abbreviations: QALYs, quality-adjusted life years; HALE, health-adjusted life expectancy. Reprinted with permission from the Institute of Medicine.
The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions.