PMID: 18200342Jan 18, 2008Paper

Cost-effectiveness analysis and diet quality index applied to the WHO Global Strategy

Revista de saúde pública
Flávia Mori Sarti Machado, Arlete Naresse Simões

Abstract

To test the use of cost-effectiveness analysis as a decision making tool in the production of meals for the inclusion of the recommendations published in the World Health Organization's Global Strategy. Five alternative options for breakfast menu were assessed previously to their adoption in a food service at a university in the state of Sao Paulo, Southeastern Brazil, in 2006. Costs of the different options were based on market prices of food items (direct cost). Health benefits were estimated based on adaptation of the Diet Quality Index (DQI). Cost-effectiveness ratios were estimated by dividing benefits by costs and incremental cost-effectiveness ratios were estimated as cost differential per unit of additional benefit. The meal choice was based on health benefit units associated to direct production cost as well as incremental effectiveness per unit of differential cost. The analysis showed the most simple option with the addition of a fruit (DQI = 64 / cost = R$ 1.58) as the best alternative. Higher effectiveness was seen in the options with a fruit portion (DQI1=64 / DQI3=58 / DQI5=72) compared to the others (DQI2=48 / DQI4=58). The estimate of cost-effectiveness ratio allowed to identifying the best breakfast option bas...Continue Reading

References

Dec 1, 1994·Revista de saúde pública·L Mondini, C A Monteiro
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Oct 6, 2004·Food and Nutrition Bulletin·Amalia Waxman, UNKNOWN World Health Assembly
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Sep 1, 2005·Journal of the American Dietetic Association·Won O SongChin Eun Chung

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Citations

Oct 16, 2015·Ciência & saúde coletiva·Gabriele MorazLocimara Ramos Kroeff
Dec 9, 2010·Ciência & saúde coletiva·Marismary Horsth De SetaGizene Luciana Pereira de Sales

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