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Adv Prev Med. 2012; 2012: 601631.
Published online Mar 25, 2012. doi:  10.1155/2012/601631
PMCID: PMC3318195
Programme Costing of a Physical Activity Programme in Primary Prevention: Should the Costs of Health Asset Assessment and Participatory Programme Development Count?
Silke B. Wolfenstetter, 1 Bernd Schweikert, 1 ,2 and Jürgen John 1 *
1Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Health Economics and Health Care Management, Ingolstädter Land Straße 1, 85764 Neuherberg, Germany
2Life Sciences, OptumInsight, Munich, Germany
*Jürgen John: john/at/
Academic Editor: Katrin S. Kohl
Received June 21, 2011; Revised December 27, 2011; Accepted January 9, 2012.
This analysis aims to discuss the implications of the “health asset concept”, introduced by the WHO, and the “investment for health model” requiring a “participatory approach” of cooperative programme development applied on a physical activity programme for socially disadvantaged women and to demonstrate the related costing issues as well as the relevant decision context. The costs of programme implementation amounted to €48,700. Adding the costs for developing the programme design of €48,800 results in total costs of €97,500; adding on top of that the costs of asset assessment running to €35,600 would total €133,100. These four different cost figures match four different types of potentially relevant decisions contexts. Depending on the decision context the total costs, and hence the incremental cost-effectiveness ratio of a health promotion intervention, could differ considerably. Therefore, a detailed cost assessment and the identification of the decision context are of crucial importance.
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