Silver Book reference

The Value of Investment in Health Care: Better care, better lives

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    • Every additional dollar spent on antiplatelet therapy versus aspirin for the prevention of stroke in high-risk patients, has produced health gains valued between $2 and $6.  
    • Analysis suggests that in the past 20 years, each additional dollar spent on health care services produced health gains valued at between $2.40 and $3.00.  
    • The United States would have spent $634 billion less on health care in 2000 without many of the improvements in health and the associated investments that were seen between 1980…  
    • Between 1980 and 2000, annual age adjusted per person health care costs increased by $2,254 (102%) but were accompanied by significant health gains including: a 16% decline in annual death…  
    • Decline in Disability Rates for People Aged over 65 Years, 1982-2000  
    • Every additional dollar spent on statin therapy for diabetes patients without cardiovascular disease has produced health gains valued between $7 and $31.  
    • Every additional dollar spent on screening and treating diabetic eye disease in type 2 diabetics on insulin has produced health gains valued at $36.  
    • Every additional dollar spent on intensive blood glucose control for newly diagnosed type 2 diabetic patients has produced health gains valued at $3.77.  
    • Every additional dollar spent on the overall treatment of type 2 diabetes has produced health gains valued at $1.49.  
    • Every additional dollar spent on the overall treatment of stroke has produced health gains valued at $1.55.  
    • Every additional dollar spent on the routine use of beta-blockers (versus under-use) in acute heart attack patients has produced health gains valued as high as $38.44.  
    • Because of reduced mortality rates, the number of stroke survivors who are non-institutionalized increased from 2.0 to 2.4 million between 1980 and 1991.  
    • Between 1980 and 2000, stroke mortality rates fell from 96.2 to 60.8 per 100,000 persons.  
    • Statin treatment soon after an acute heart attack reduces the risk of fatal heart disease or a recurrent heart attack by 24%.  
    • Primary angioplasty reduces 30-day mortality risk by 34% to 50%.  
    • Glycoprotein inhibitors have been shown to reduce the risk of death, a second heart attack, or the need for revascularization by 48% to 52% in patients who have suffered a…  
    • Every additional dollar spent on overall breast cancer treatment has produced health gains valued at $4.80.  
    • 17 million Americans–approximately 6% of the population–have type 2 diabetes, the most common form of diabetes.  
    • 2.6% of all Americans have suffered a heart attack at some point in their lives.