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Health Education Research, Vol. 10, No. 2, 241-249, 1995
© 1995 Oxford University Press

other

The efficacy of health promotion, health economics and late modernism

Roger Burrows, Robin Bunton, Steven Muncer and Kate Gillen

C-SAL, School of Human Studies, University of Teesside Middlesbrough, Cleveland TS1 3BA, UK

This paper argues that the application of health economics to the evaluation of health promotion strategies provides an example of the application of a modernist framework to an inherently late modern practice. The hegemony of health economics is explained in terms of the organizational need for ‘ontological security’ that the rhetoric of rationality provides in an era of inherent change and disorder. In the light of this argument the paper examines the most developed framework for evaluating the cost-effectiveness of health promotion.


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