Cost-effectiveness analysis of text messaging to support health advice for smoking cessation.
Cost-effectiveness analysis of text messaging to support health advice for smoking cessation.
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DOI：
10.1186/s12962-021-00262-y
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发表时间：
2021-02-15
期刊：
影响因子：
--
通讯作者：
Orive G
中科院分区：
文献类型：
--
作者：
Cobos-Campos R;Mar J;Apiñaniz A;de Lafuente AS;Parraza N;Aizpuru F;Orive G
吸烟是最严重的公共卫生问题之一。众所周知，它是慢性病的一个主要危险因素，也是全世界可预防死亡的主要原因。由于吸烟者的高流行率，需要寻求新的成本效益策略来提高戒烟率。我们进行了一项基于马尔可夫模型的成本效益分析，比较了两种治疗方法：由全科医生和初级保健护士提供的健康建议，以及通过向吸烟者的移动的手机发送激励短信来加强的健康建议。使用马尔可夫模型，其中吸烟者在6个月周期后在三种相互排斥的健康状态（吸烟者、前吸烟者和死亡）之间转换。我们计算了与发送激励信息相关的成本效益比。通过了保健和社会观点（分别）。考虑的成本分别是直接医疗保健成本和直接医疗保健成本和生产力损失成本。此外，还进行了确定性敏感性分析，修改了每个选项的戒烟概率。发现发送短信作为支持健康建议的工具具有成本效益，因为从医疗保健的角度来看，男性和女性每获得一个质量调整生命年（ICUR）的成本分别增加了7.4欧元和1，327欧元，远远低于公布的成本效益阈值。从社会的角度来看，综合方案占主导地位。发送短信是一种具有成本效益的方法。这些发现支持在初级保健保健中心实施综合方案。
Smoking in one of the most serious public health problems. It is well known that it constitutes a major risk factor for chronic diseases and the leading cause of preventable death worldwide. Due to high prevalence of smokers, new cost-effective strategies seeking to increase smoking cessation rates are needed. We performed a Markov model-based cost-effectiveness analysis comparing two treatments: health advice provided by general practitioners and nurses in primary care, and health advice reinforced by sending motivational text messages to smokers’ mobile phones. A Markov model was used in which smokers transitioned between three mutually exclusive health states (smoker, former smoker and dead) after 6-month cycles. We calculated the cost-effectiveness ratio associated with the sending of motivational messages. Health care and society perspectives (separately) was adopted. Costs taken into account were direct health care costs and direct health care cost and costs for lost productivity, respectively. Additionally, deterministic sensitivity analysis was performed modifying the probability of smoking cessation with each option. Sending of text messages as a tool to support health advice was found to be cost-effective as it was associated with increases in costs of €7.4 and €1,327 per QALY gained (ICUR) for men and women respectively from a healthcare perspective, significantly far from the published cost-effectiveness threshold. From a societal perspective, the combined programmed was dominant. Sending text messages is a cost-effective approach. These findings support the implantation of the combined program across primary care health centres.
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影响因子：
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