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

Author

Németh B, Józwiak-Hagymásy J, Kovács G, Kovács A, Demjén T, Huber MB, Cheung KL, Coyle K, Lester-George A, Pokhrel S, and Vokó Z

Subjects
Adult, Cost-Benefit Analysis economics, Cost-Benefit Analysis methods, Humans, Hungary, Prospective Studies, Smoking Cessation methods, Cost-Benefit Analysis statistics & numerical data, Models, Economic, Smoking economics, Smoking therapy, Smoking Cessation economics, Smoking Cessation statistics & numerical data
Abstract

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., (© 2018 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.)

Published
2018
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2. Cost-effectiveness of possible future smoking cessation strategies in Hungary: results from the EQUIPTMOD

Author

Németh, B, Józwiak-Hagymásy, J, Kovács, G, Kovács, A, Demjén, T, Huber, M, Cheung, KL, Coyle, K, Lester-George, A, Pokhrel, S, Vokó, Z, RS: CAPHRI - R2 - Creating Value-Based Health Care, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health promotion, and Promovendi PHPC

Subjects
Adult, Research Report, Return-on-investment tool, Cost-Benefit Analysis, Theme 2, WILLINGNESS-TO-PAY, Cost‐effectiveness, Humans, Economic model, Prospective Studies, health care economics and organizations, Hungary, Smoking, EQUIPTMOD as a Basis for Rational Investment Decisions in Tobacco Control, Research Reports, modeling, Cost-effectiveness, Economic Model, Modeling, Return-on-investment Tool, Smoking Cessation, smoking cessation, Models, Economic, return-on-investment tool, HEALTH, HELPING SMOKERS, return‐on‐investment tool, economic model
Abstract

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.

Published
2017

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