TY - JOUR
KW - Alcohol Drinking/economics/mortality/prevention & control
KW - Australia/epidemiology
KW - Cost-Benefit Analysis
KW - Counseling/economics
KW - Female
KW - Health Education/economics
KW - Health Promotion/economics
KW - Humans
KW - Male
KW - Mass Screening/economics
KW - Primary Health Care/economics
KW - Public Health Administration
KW - Value of Life
AU - S. E. Wutzke
AU - A. Shiell
AU - M. K. Gomel
AU - K. M. Conigrave
A1 - 
AB - The direct costs and health effects of a primary-care-based brief intervention for hazardous alcohol consumption were examined. The total cost of the intervention was calculated from costs associated with: marketing the intervention programme; providing training and support in the use of the intervention materials; physician time required for providing brief advice for 'at-risk' drinkers. The effect of the intervention on health outcomes was expressed in terms of number of life years saved by preventing alcohol-related deaths. This was derived by combining estimates of the impact of the programme if it were implemented nationally with available evidence on the health effects of excess alcohol consumption. Results are based on international trial evidence showing the physical resources required by the intervention and its effectiveness combined with Australian price data. The costs associated with screening and brief advice using the current intervention programme range from Aus$19.14 to Aus$21.50. The marginal costs per additional life year saved were below Aus$1873. The robustness of the model used is supported by an extensive sensitivity analysis. In comparison with existing health promotion strategies the costs and effects of the current intervention are highly encouraging.
BT - Social science & medicine (1982)
C5 - Financing & Sustainability
CP - 6
CY - England
IS - 6
JF - Social science & medicine (1982)
N2 - The direct costs and health effects of a primary-care-based brief intervention for hazardous alcohol consumption were examined. The total cost of the intervention was calculated from costs associated with: marketing the intervention programme; providing training and support in the use of the intervention materials; physician time required for providing brief advice for 'at-risk' drinkers. The effect of the intervention on health outcomes was expressed in terms of number of life years saved by preventing alcohol-related deaths. This was derived by combining estimates of the impact of the programme if it were implemented nationally with available evidence on the health effects of excess alcohol consumption. Results are based on international trial evidence showing the physical resources required by the intervention and its effectiveness combined with Australian price data. The costs associated with screening and brief advice using the current intervention programme range from Aus$19.14 to Aus$21.50. The marginal costs per additional life year saved were below Aus$1873. The robustness of the model used is supported by an extensive sensitivity analysis. In comparison with existing health promotion strategies the costs and effects of the current intervention are highly encouraging.
PP - England
PY - 2001
SN - 0277-9536; 0277-9536
SP - 863
EP - 870
EP - 
T1 - Cost effectiveness of brief interventions for reducing alcohol consumption
T2 - Social science & medicine (1982)
TI - Cost effectiveness of brief interventions for reducing alcohol consumption
U1 - Financing & Sustainability
U2 - 11234861
VL - 52
VO - 0277-9536; 0277-9536
Y1 - 2001
ER -