Economic Evaluation Across the Four Faces of Prevention: A Canadian Perspective
"Is Prevention Better Than Cure?"  A translation of the 2004 study focusing on economic arguments for preventive measures using five specific interventions.
Translation published in September, 2008.  DescriptionDownload  880 K

This question was brought forward by Louise Russell nearly 30 years ago. In 2004 Laurie Goldsmith, Brian Hutchison and Jeremiah Hurley were commissioned by the Canadian Medical Association to "situate this question in a contemporary Canadian context in the hope that an updated review of economic evaluation evidence on prevention would assist health and healthcare priority setting".

The study includes analyses of five specific preventive interventions:

  • Varicella vaccination for infants
  • Colorectal cancer Screening using fecal occult blood testing
  • Needle exchange programs
  • Community water fluoridation
  • Day care or preschool programs.

The NCCHPP has produced the French translation of this document in order to make it available to a larger audience.  Here is the original English version. The NCCHPP wishes to thank the authors, Laurie Goldsmith,  Brian Hutchison and Jeremiah Hurley, and the Canadian Medical Association for allowing us to use this document. 

Economic Evaluation Across the Four Faces of Prevention: A Canadian Perspective
  880 K
 Image - cover page of the publication - click to download

Related workshops

In 2009, the NCCHPP organized a series of workshops in collaboration with Laurie Goldsmith of Simon Fraser University. These were organized in order to learn about public health actors' responses to the 2004 report and to receive feedback about what may be missing. To learn more, click here.

The production of the NCCHPP website has been made possible through a financial contribution from the Public Health Agency of Canada.