PMID: 9558786Apr 29, 1998Paper

Beyond health promotion: reducing need and demand for medical care

Health Affairs
J F FriesD Wright

Abstract

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.

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Citations

Aug 13, 2008·Archives of Internal Medicine·Eliza F ChakravartyJames F Fries
Dec 6, 2001·The Journal of Behavioral Health Services & Research·M AlegríaL Matías
Aug 31, 2011·Journal of Immigrant and Minority Health·Yue WangWilliam B Bateman
Jan 5, 2002·Comprehensive Therapy·J F Fries
May 17, 2005·American Journal of Preventive Medicine·Matthew T McKennaJames S Marks
Feb 26, 2000·Vaccine·J F Fries
Apr 17, 2001·Hospital Topics·P V Washburn
Jan 13, 2011·Age and Ageing·Jayna M Holroyd-LeducCara Tannenbaum
Oct 22, 2008·Family Practice·Maria A KoelenAnnemarie Wagemakers
Nov 3, 2012·Current Gerontology and Geriatrics Research·James F Fries
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Aug 31, 2011·Journal of Aging Research·James F FriesEliza Chakravarty
Feb 13, 2009·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Bernard FriedmanAnne Elixhauser
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Mar 26, 2013·Journal of Evaluation in Clinical Practice·Mathew MercuriAmiram Gafni
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