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Healthcare Costs and Utilization of Smoking and Quitting

医疗保健费用以及吸烟和戒烟的利用

基本信息

批准号：
7491738
负责人：
SUSAN J CURRY
金额：
$ 25.42万
依托单位：
UNIVERSITY OF WISCONSIN-MADISON
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-01 至 2009-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7491738
关键词：
Abstinence Address Age Arts Behavior Therapy Businesses Caring Cessation of life Chronic Disease Clinic Cohort Studies Collaborations Computerized Medical Record Data Dependence Diagnosis Disease Drops Economic Burden Effectiveness Enrollment Ensure Gender Health Health Care Costs Health Care Visit Health Planning Healthcare Healthcare Systems High Prevalence Incidence Information Systems Insurance Insurance Carriers Investments Life Longevity Medical Medical Records Modeling Morbidity - disease rate Patients Pattern Pharmacotherapy Preventive Primary Health Care Productivity Quality of life Rate Recruitment Activity Relapse Research Research Personnel Research Project Grants Resources Sampling Savings Services Smoke Smoker Source Time Tobacco Tobacco Dependence Tobacco Use Cessation Tobacco use Treatment Effectiveness Treatment outcome United States Visit Week Welts Wisconsin Withholding Treatment case control cohort comparison group cost day disability effectiveness trial evidence based guidelines experience falls follow-up health care service utilization indexing mortality programs psychosocial smoking cessation

项目摘要

Annual costs resulting from medical expenses and lost productivity due to tobacco-related disease, disability, and death, areestimated at more than $150 billion. Despite the clear economic burden of tobacco on the health care system and the availability of proven treatments for tobacco dependence, many insurance programs and health plans in the United States do not offer a comprehensive benefit for these treatments. Health insurers and health care systems seek a 'business case' for investment in cessation treatment. This study wilt contribute new data on the impacts of cessation on health care utilization and costs of smokers quitting and not quitting within a large network of primary care clinics. A unique feature of the research is the longitudinal examination of health care utilization and costs for smokers actively recruited during routine primary care visits to receive pharmacotherapy and psychosocial cessation treatment. The specific aims of this study are to: (1) Obtain longitudinal data on health care utilization from the cohort of 1320 smokers participating in the Effectiveness study and from a sample of 633 continuing smokers identified through electronic medical record review who have not been recruited into a treatment-outcome study, (2) Using quit dates of protracted abstainers in the effectiveness study as reference points, compare health care utilization and costs among quitters and continuing smokers in the effectiveness trial cohort for two years prior to cessation and up to three and a half years post-cessation, (3) Using quit dates of protracted abstainers as reference points, compare types of health care visits and diagnoses among quitters and continuing smokers in the effectiveness study, and (4) Using data from the effectiveness study quitters (Cases) and the comparison group of patients who are continuing smokers (Controls), model the health care costs and utilization of quitters against their predicted costs had they not quit as determined from controls.

每年因烟草相关疾病、残疾和死亡造成的医疗费用和生产力损失造成的费用估计超过 1500 亿美元。尽管烟草对医疗保健系统造成了明显的经济负担，并且针对烟草依赖有行之有效的治疗方法，但美国的许多保险计划和健康计划并未为这些治疗提供全面的福利。健康保险公司和医疗保健系统寻求投资戒烟治疗的“商业案例”。这项研究将提供有关戒烟对吸烟者医疗保健利用和成本影响的新数据在大型初级保健诊所网络中戒烟和不戒烟。该研究的一个独特之处是对在常规初级保健就诊期间积极招募的吸烟者接受药物治疗和心理社会戒烟治疗的医疗保健利用率和费用进行纵向检查。本研究的具体目的是：(1) 从参与有效性研究的 1320 名吸烟者队列和通过电子病历审查确定的 633 名持续吸烟者样本中获取医疗保健利用率的纵向数据，这些吸烟者尚未被招募到治疗结果研究中，(2) 使用有效性研究中长期戒烟者的戒烟日期作为参考点，比较医疗保健有效性试验队列中戒烟者和持续吸烟者在戒烟前两年和戒烟后三年半内的利用率和成本，(3) 使用长期戒烟者的戒烟日期作为参考点，比较有效性研究中戒烟者和持续吸烟者的医疗保健访问和诊断类型，以及 (4) 使用有效性研究戒烟者（病例）和继续吸烟患者的对照组的数据吸烟者（对照组），根据戒烟者的预测成本（如果他们没有按照对照确定的方式戒烟）对医疗保健成本和戒烟者的利用率进行建模。