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Eur J Clin Nutr. 2015 May;69(5):539-45. doi: 10.1038/ejcn.2014.280. Epub 2015 Jan 21.

The view of European experts regarding health economics for medical nutrition in disease-related malnutrition.

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School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Department of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Towcester, Northants, UK.
Health Economics and Health Technology Assessment, Institute for Medical Technology Assessment (iMTA), Institute for Health Policy and Management (iBMG), Erasmus University Rotterdam, Rotterdam, The Netherlands.
Department of Nutrition and Dietetics, Project leader Dutch Malnutrition Steering Group, VU University Medical Centre, Amsterdam, The Netherlands.
1] Cooperative Research Group for Evidence-Based Public Health, Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany [2] Institute for Public Health, Health Sciences Bremen, University Bremen, Bremen, Germany.
Research group Geriatrics, Charité Universitätsmedizin Berlin, Berlin, Germany.
Ars Accessus Medica Amsterdam, The Netherlands.
Department of General Practice and Department of Health Services Research, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands.


Health-care systems are currently facing tremendous budget constraints resulting in growing pressure on decision makers and health-care providers to obtain the maximum possible health benefits of the resources available. Choices have to be made, and health economics can help in allocating limited health-care resources among unlimited wants and needs. Attempts to achieve cost reductions often focus on severe pathologies and chronic diseases as they commonly represent high health-care expenditures. In this context, awareness of the considerable financial burden caused by disease-related malnutrition (DRM) is lacking. Possibilities of reducing costs by optimising the management of DRM through medical nutrition will mostly not even be taken into account. During a European expert meeting, the total evaluation of medical nutrition was viewed and discussed. The aim of this meeting was to gain an experts' outline of the key issues relating to the health economic assessment of the use of medical nutrition. This article provides a summary of the observations per discussed item and describes the next steps suggested.

[Indexed for MEDLINE]

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