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Related Experiment Videos

Free nicotine replacement therapy programs vs implementing smoke-free workplaces: a cost-effectiveness comparison.

Michael K Ong1, Stanton A Glantz

  • 1VA Palo Alto Health Care System, CA, USA.

American Journal of Public Health
|May 26, 2005
PubMed
Summary

Smoke-free workplace policies are significantly more cost-effective for smoking cessation than free nicotine replacement therapy (NRT) programs. These policies offer a better return on investment for public health funding aimed at helping individuals quit smoking.

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Area of Science:

  • Public Health
  • Health Economics
  • Tobacco Control

Background:

  • Smoking cessation interventions are crucial for public health.
  • Nicotine replacement therapy (NRT) and smoke-free policies are common cessation strategies.
  • Evaluating the cost-effectiveness of different interventions is essential for resource allocation.

Purpose of the Study:

  • To compare the cost-effectiveness of a free nicotine replacement therapy (NRT) program versus a statewide smoke-free workplace policy in Minnesota.
  • To determine which intervention yields more quality-adjusted life years (QALYs) per dollar spent.
  • To inform public health funding priorities for smoking cessation.

Main Methods:

  • One-year simulations were used to model costs and benefits.

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  • Key outcome measures included the number of individuals who quit smoking and QALYs gained.
  • Cost per quitter and cost per QALY were calculated for each intervention.

    • Main Results:

    • The NRT program resulted in 18,500 quitters at $7020 per quitter and $4440 per QALY.
    • The smoke-free workplace policy resulted in 10,400 quitters at $799 per quitter and $506 per QALY.
    • Smoke-free workplace policies were approximately nine times more cost-effective per quitter than NRT programs.

    Conclusions:

    • Smoke-free workplace policies are a more cost-effective strategy for promoting smoking cessation compared to free NRT programs.
    • Public health resources should prioritize smoke-free workplace policies, even when individual cessation is the primary objective.
    • These findings support the broader implementation and funding of smoke-free environments to improve population health outcomes.