Cost-effectiveness analysis of smoking-cessation counseling training for physicians and pharmacists.
Cost-effectiveness analysis of smoking-cessation counseling training for physicians and pharmacists.
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DOI：
10.1016/j.addbeh.2015.01.004
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发表时间：
2015-06
影响因子：
4.4
通讯作者：
Prokhorov, Alexander V.
中科院分区：
文献类型：
--
作者：
Cantor, Scott B.;Deshmukh, Ashish A.;Luca, Nancy Stancic;Nogueras-Gonzalez, Graciela M.;Rajan, Tanya;Prokhorov, Alexander V.
Although smoking-cessation interventions typically focus directly on patients, this paper conducts an economic evaluation of a novel smoking-cessation intervention focused on training physicians and/or pharmacists to use counseling techniques that would decrease smoking rates at a reasonable cost. To evaluate the cost-effectiveness of interventions that train physicians and/or pharmacists to counsel their patients on smoking-cessation techniques. Using decision-analytic modeling, we compared four strategies for smoking-cessation counseling education: training only physicians, training only pharmacists, training both physicians and pharmacists (synergy strategy), and training neither physicians nor pharmacists (i.e., no specialized training, which is the usual practice). Short-term outcomes were based on results from a clinical trial conducted in 16 communities across the Houston area; long-term outcomes were calculated from epidemiological data. Short-term outcomes were measured using the cost per quit, and long-term outcomes were measured using the cost per quality-adjusted life-year (QALY). Cost data were taken from institutional sources; both costs and QALYs were discounted at 3%. Training both physicians and pharmacists added 0.09 QALY for 45-year-old men. However, for 45-year-old women, the discounted quality-adjusted life expectancy only increased by 0.01 QALY when comparing the synergy strategy to no intervention. The incremental cost-effectiveness ratio (ICER) of the synergy strategy with respect to the non-intervention strategy was US$868/QALY for 45-year-old men and US$8,953/QALY for 45-year-old women. The results were highly sensitive to the quit rates and community size. Synergistic educational training for physicians and pharmacists could be a cost-effective method for smoking cessation in the community.
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影响因子：
5.2
作者：
Ockene, J K;Lindsay, E A;Pechacek, T
通讯作者：
Pechacek, T
影响因子：
5.7
作者：
OCKENE, JK;HOSMER, DW;DALEN, JE
通讯作者：
DALEN, JE
影响因子：
4
作者：
McCarney, Rob;Warner, James;Fisher, Peter
通讯作者：
Fisher, Peter
影响因子：
--
作者：
Prokhorov, Alexander V.;Hudmon, Karen Suchanek;Gritz, Ellen R.
通讯作者：
Gritz, Ellen R.
影响因子：
5.5
作者：
GOLDBERG, DN;HOFFMAN, AM;SMITH, EG
通讯作者：
SMITH, EG