电子烟的成本效益分析与尼古丁替代疗法相比,在加利福尼亚州的医疗补助使用者中帮助戒烟
Angela W Chen1, Paul A Fishman1
1Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, WA, USA.
概括
电子烟比尼古丁替代疗法 (NRT) 更具成本效益,用于医疗补助吸烟者戒烟. 政策制定者应该考虑支持电子烟作为减少危害的战略.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 控制烟草的控制方式
背景情况:
- 在美国,吸烟仍然是可预防的死亡原因之一.
- 在2019年的一项试验中,电子烟与咨询相结合时,电子烟的戒断率高于NRT.
- 对于电子烟作为美国戒烟援助的成本效益数据有限.
研究的目的:
- 为了评估电子烟与NRT在加利福尼亚医疗补助 (Medicaid) 吸烟者中戒烟的成本效益.
- 为了比较这些戒烟辅助工具,当两者与行为咨询相结合时.
- 提供美国社会对电子烟在减少烟草危害方面的经济价值的观点.
主要方法:
- 进行了终身成本效益分析.
- 该模型将电子烟与NRT进行了比较,两者都有行为咨询.
- 健康结果以质量调整后的生命年 (QALY) 来衡量,成本以2020美元计算,每年折扣为3%.
主要成果:
- 电子烟的成本效益比NRT更高,每QALY的增量成本效益比率为11,454美元.
- 结果对包括医疗保健成本,年龄,折扣率和QALY权重在内的因素敏感.
- 敏感性分析证实了电子烟的成本效益的稳定性.
结论:
- 与NRT相比,电子烟是一种更具成本效益的戒烟治疗方法.
- 尽管目前缺乏FDA的批准,但电子烟仍然是一个流行的戒烟选择.
- 政策制定者应该考虑为电子烟提供财政支持,作为减少危害的战略.
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