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01.12.2014 | Research article | Ausgabe 1/2014 Open Access

BMC Family Practice 1/2014

Cost-effectiveness of a programme of screening and brief interventions for alcohol in primary care in Italy

Zeitschrift:
BMC Family Practice > Ausgabe 1/2014
Autoren:
Colin Angus, Emanuele Scafato, Silvia Ghirini, Aleksandra Torbica, Francesca Ferre, Pierluigi Struzzo, Robin Purshouse, Alan Brennan
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1471-2296-15-26) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

CA performed the modelling and drafted the article. ES and SG provided data and expertise on population baseline characteristics. AT and FF provided data and expertise on hospital admissions and costs. PS provided data and expertise on primary care. ES, SG, AT, FF and PS provided expertise on the Italian context and healthcare system. RP and AB provided modelling expertise and guidance. All authors read and approved the final manuscript.

Abstract

Background

As alcohol-related health problems continue to rise, the attention of policy-makers is increasingly turning to Screening and Brief Intervention (SBI) programmes. The effectiveness of such programmes in primary healthcare is well evidenced, but very few cost-effectiveness analyses have been conducted and none which specifically consider the Italian context.

Methods

The Sheffield Alcohol Policy Model has been used to model the cost-effectiveness of government pricing and public health policies in several countries including England. This study adapts the model using Italian data to evaluate a programme of screening and brief interventions in Italy. Results are reported as Incremental Cost-Effectiveness Ratios (ICERs) of SBI programmes versus a ‘do-nothing’ scenario.

Results

Model results show such programmes to be highly cost-effective, with estimated ICERs of €550/Quality Adjusted Life Year (QALY) gained for a programme of SBI at next GP registration and €590/QALY for SBI at next GP consultation. A range of sensitivity analyses suggest these results are robust under all but the most pessimistic assumptions.

Conclusions

This study provides strong support for the promotion of a policy of screening and brief interventions throughout Italy, although policy makers should be aware of the resource implications of different implementation options.
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