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Németh, B.* ; Józwiak-Hagymásy, J.* ; Kovács, G.* ; Kovács, A.L.* ; Demjén, T.* ; Huber, M.B. ; Cheung, K.L.* ; Coyle, K.* ; Lester-George, A.* ; Pokhrel, S.* ; Vokó, Z.*

Cost-effectiveness of possible future smoking cessation strategies in Hungary: Results from the EQUIPTMOD.

Addiction 113, 1, 76-86 (2018)
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AIMS: To evaluate potential health and economic returns from implementing smoking cessation interventions in Hungary. METHODS: The EQUIPTMOD, a Markov-based economic model, was used to assess the cost-effectiveness of three implementation scenarios: (a) introducing a social marketing campaign; (b) doubling the reach of existing group-based behavioural support therapies and proactive telephone support; and (c) a combination of the two scenarios. All three scenarios were compared with current practice. The scenarios were chosen as feasible options available for Hungary based on the outcome of interviews with local stakeholders. Life-time costs and quality-adjusted life years (QALYs) were calculated from a health-care perspective. The analyses used various return on investment (ROI) estimates, including incremental cost-effectiveness ratios (ICERs), to compare the scenarios. Probabilistic sensitivity analyses assessed the extent to which the estimated mean ICERs were sensitive to the model input values. RESULTS: Introducing a social marketing campaign resulted in an increase of 0.3014 additional quitters per 1 000 smokers, translating to health-care cost-savings of €0.6495 per smoker compared with current practice. When the value of QALY gains was considered, cost-savings increased to €14.1598 per smoker. Doubling the reach of existing group-based behavioural support therapies and proactive telephone support resulted in health-care savings of €0.2539 per smoker (€3.9620 with the value of QALY gains), compared with current practice. The respective figures for the combined scenario were €0.8960 and €18.0062. Results were sensitive to model input values. CONCLUSIONS: According to the EQUIPTMOD modelling tool, it would be cost-effective for the Hungarian authorities introduce a social marketing campaign and double the reach of existing group-based behavioural support therapies and proactive telephone support. Such policies would more than pay for themselves in the long term.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Cost-effectiveness ; Economic Model ; Hungary ; Modeling ; Return-on-investment Tool ; Smoking Cessation; Polycyclic Aromatic-hydrocarbons; Lung Epithelial-cells; Yangtze-river Delta; 6 European Cities; Ambient Air; Oxidative Stress; Mouse Lung; A549 Cells; Cytotoxic Responses; Seasonal-variation
Language
Publication Year 2018
HGF-reported in Year 2018
ISSN (print) / ISBN 0965-2140
e-ISSN 1360-0443
Journal Addiction
Quellenangaben Volume: 113, Issue: , Pages: 76-86, Article Number: , Supplement: 1
Publisher Wiley
Publishing Place Oxford
Reviewing status Peer reviewed
Institute(s) Institute of Health Economics and Health Care Management (IGM)
POF-Topic(s) 30202 - Environmental Health
Research field(s) Genetics and Epidemiology
PSP Element(s) G-505300-001
DOI 10.1111/add.14089
WOS ID WOS:000436401100008
Scopus ID 85041082062
PubMed ID 29368363
Erfassungsdatum 2018-01-31
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