The measure of the effectiveness of health promotion and disease preve
ntion activities is the impact of prevention policies, programs, and p
ractices on public health and clinical medicine. Assessing prevention
effectiveness involves continuing quantitative analysis of health outc
omes resulting from prevention practices. Additionally, assessment inv
olves evaluation of disease- and injury-prevention activities, includi
ng their medical, legal, ethical, and economic impacts. Although asses
sing the effectiveness of prevention activities involves measuring eff
icacy, safety, and cost, the primary criterion is to improve health at
a reasonable cost, not merely to contain costs. Policy makers can use
the results of assessments to set priorities in public health. The au
thors use case studies to illustrate various approaches to evaluating
prevention programs, including school health-education programs, and p
rograms for preventing measles, breast cancer, and diabetic retinopath
y. Rigorous evaluation of the effectiveness of prevention activities i
s essential to the wide acceptance of preventive interventions and the
willingness to pay for them.