A cost-effectiveness analysis of a community pharmacist-based smoking cessation programme in Thailand

Thavorne, K. and Chaiyakunapruk, N. (2008) A cost-effectiveness analysis of a community pharmacist-based smoking cessation programme in Thailand. Tobacco Control, 17 3: 177-182.


Author Thavorne, K.
Chaiyakunapruk, N.
Title A cost-effectiveness analysis of a community pharmacist-based smoking cessation programme in Thailand
Journal name Tobacco Control   Check publisher's open access policy
ISSN 0964-4563
Publication date 2008-06
Year available 2008
Sub-type Article (original research)
DOI 10.1136/tc.2007.022368
Volume 17
Issue 3
Start page 177
End page 182
Total pages 5
Editor Ruth Malone
Place of publication London, England
Publisher BMJ Group
Collection year 2009
Language eng
Subject C1
920299 Health and Support Services not elsewhere classified
920499 Public Health (excl. Specific Population Health) not elsewhere classified
920408 Health Status (e.g. Indicators of Well-Being)
111708 Health and Community Services
Formatted abstract Objective: To estimate the incremental cost-effectiveness ratio of a structured community pharmacist-based smoking cessation programme compared with usual care.

Design: A cost-effectiveness study using a healthcare system perspective

Population: Two simulated cohorts of smokers: male and female aged 40, 50 and 60 years who regularly smoke 10–20 cigarettes per day.

Intervention and comparator: A structured community pharmacist-based smoking cessation (CPSC) programme compared to usual care.

Main outcome measure: Cost per life year gained (LYG) attributable to the smoking cessation programme.

Results: The CPSC programme results in cost savings of 17 503.53 baht (£250; {euro}325; $500) to the health system and life year gains of 0.18 years for men and; costs savings of 21 499.75 baht (£307; {euro}399; $614) and life year gains of 0.24 years for women. A series of sensitivity analyses demonstrate that both cost savings and life year gains are sensitive to variations in the discount rate and the long-term smoking quit rate associated with the intervention.

Conclusion: From the perspective of the health system, the CPSC programme yields cost savings and life year gains. This finding provides important information for health policy decision-makers when determining the magnitude of resources to be allocated to smoking cessation service in community pharmacy.
Keyword Cost-effectiveness Analysis
community
smoking cessation
Thailand
Q-Index Code C1
Q-Index Status Confirmed Code
Additional Notes Published Online First: 19 February 2008

Document type: Journal Article
Sub-type: Article (original research)
Collections: Faculty of Health and Behavioural Sciences -- Publications
2009 Higher Education Research Data Collection
 
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Created: Wed, 15 Apr 2009, 11:11:53 EST by Sarah Calderwood on behalf of School of Population Health