Obesity

Cost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care

Obesity (Silver Spring)Published Cost-effectiveness analysis

Authors' conclusion

The HWC is relatively low-cost per child and projected to reduce obesity disparities if implemented nationally in FQHCs.

Study context

Population
Children aged 6–12 years with overweight or obesity at federally qualified health centers (FQHCs) nationallyprojected reach
Participants
888,000 children
Comparison
Healthy Weight Clinic vs usual care
  • Healthy Weight Clinic (HWC)n = 888,000
Outcome
Cost per child and per QALY gained; projected impact on obesity prevalence by race and ethnicity
Follow-up
10 years
Methodological detailsmicrosimulation, health care sector and societal perspective, probabilistic sensitivity analyses, national implementation 2023–2032
  • Microsimulation
  • Health care sector and societal perspective
  • Probabilistic sensitivity analyses
  • National implementation 2023–2032

Main finding

As reported in the abstract

Mean intervention cost per child to health care sector (95% UI $409-$506)
$456
Mean cost per child to families (95% UI $175-$251)
$211
Quality-adjusted life year (QALYs) gained, assuming effect maintenance
2070 (95% UI 859-3220)
Health care costs saved (95% UI $5.6-$23.5 million)
$14.6 million
Net cost per QALY gained (95% CI $177,000-$679,000)
$278,000

Further findings

Obesity prevalence by race and ethnicity

Greater projected reductions in obesity prevalence among Hispanic/Latino and Black vs White populations

Original publication

Cost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care. Obesity (Silver Spring). Published 28 August 2024. doi:10.1002/oby.24111

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