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Modeling the cost-effectiveness of a smoking-cessation program in a community pharmacy practice
Mongthuong T Tran1, David A Holdford, Daniel T Kennedy
1School of Pharmacy, Medical College of Virginia Campus, Virginia Commonwealth University Richmond, Virginia, USA.
Pharmacist-directed smoking cessation programs are cost-effective for payers and society. These programs offer a valuable alternative to self-directed quit attempts, improving quit success rates.
Area of Science:
- Health Economics
- Public Health
- Pharmacy Practice
Background:
- Smoking cessation is a major public health goal.
- Community pharmacy practice offers a accessible setting for smoking cessation interventions.
- Previous studies have explored various smoking cessation methods with varying cost-effectiveness.
Purpose of the Study:
- To determine the costs associated with a pharmacist-directed smoking cessation program.
- To model the cost-effectiveness of this program compared to self-directed quit attempts.
- To analyze the economic impact from both payer and societal perspectives.
Main Methods:
- A pharmacist-directed smoking cessation program was evaluated.
- Data were collected from a community pharmacy chain practice.
- Cost-effectiveness was measured by cost per successful quit attempt, life-year saved, and quality-adjusted life-year saved.
- Sensitivity analyses were performed by varying baseline assumptions.
Main Results:
- The incremental cost for an additional patient to quit via the pharmacist-directed program ranged from $236 (cold turkey) to $1232 (nicotine gum) compared to self-directed attempts.
- Incremental cost-effectiveness was $720–$1418 per life-year saved, depending on smoker's age.
- The program demonstrated cost-effectiveness for payers and society.
Conclusions:
- Pharmacist-directed smoking cessation programs represent a cost-effective strategy.
- These programs provide a viable alternative to self-directed quit attempts.
- Further research in community pharmacy settings is recommended to validate these findings.
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