Beyond Health Promotion: Reducing Need And Demand For Medical Care
- 1 March 1998
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 17 (2), 70-84
- https://doi.org/10.1377/hlthaff.17.2.70
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.Keywords
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