Cost-Effectiveness of a Hospital-Based Smoking Cessation Intervention
Bibliographic Data
| ID | 9102635 |
|---|---|
| Authors | Richard T Meenan (0000-0003-4868-3368, Oregon Health & Science University, corresponding author), Victor J Stevens (Kaiser Permanente Center for Health Research, corresponding author), Mark C Hornbrook (0000-0001-6087-0698, Oregon Health & Science University, corresponding author), Pierre-Andre La Chance (Kaiser Permanente Center for Health Research, corresponding author), Russell E Glasgow (0000-0003-4218-3231, Oregon Research Institute), Jack F Hollis (Kaiser Permanente Center for Health Research, corresponding author), Edward Lichtenstein (Oregon Research Institute), Thomas M Vogt, Thomas Vogt (0000-0002-6268-8694, Kaiser Permanente Center for Health Research, corresponding author) |
| Year | 1998 |
| Volume | 36 |
| Issue | 5 |
| Pages | 670-678 |
| Publication date | 1998-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199805000-00007 |
| PMID | 9596058 |
| OpenAlex | W2042094050 |
| Language | EN |
| Citations received | 8 |
| References cited | 25 |
OBJECTIVES: This study evaluated the cost-effectiveness of a smoking cessation and relapse-prevention program for hospitalized adult smokers from the perspective of an implementing hospital. It is an economic analysis of a two-group, controlled clinical trial in two acute care hospitals owned by a large group-model health maintenance organization. The intervention included a 20-minute bedside counseling session with an experienced health counselor, a 12-minute video, self-help materials, and one or two follow-up calls. METHODS: Outcome measures were incremental cost (above usual care) per quit attributable to the intervention and incremental cost per discounted life-year saved attributable to the intervention. RESULTS: Cost of the research intervention was $159 per smoker, and incremental cost per incremental quit was $3,697. Incremental cost per incremental discounted life-year saved ranged between $1,691 and $7,444, much less than most other routine medical procedures. Replication scenarios suggest that, with realistic implementation assumptions, total intervention costs would decline significantly and incremental cost per incremental discounted life-year saved would be reduced by more than 90%, to approximately $380. CONCLUSIONS: Providing brief smoking cessation advice to hospitalized smokers is relatively inexpensive, cost-effective, and should become a part of the standard of inpatient care
Cost effectiveness · Cost–benefit analysis · Intervention (counseling) · Marginal cost · Physical therapy · Smoking cessation · Emergency Medicine · Health Policy Implementation Science · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Smoking Behavior and Cessation
II. Smoking cessation in the hospital setting---a new opportunity for managed care. Introduction
Implementing tobacco interventions in the real world of managed care
Evaluating the impact of health promotion programs
Evaluating the public health impact of health promotion interventions
Coverage of Smoking Cessation Treatment by Union Health and Welfare Funds
Implementation and Effectiveness of a Brief Smoking-Cessation Intervention for Hospital Patients
Effect of an Evidence-based Inpatient Tobacco Dependence Treatment Service on 1-Year Postdischarge Health Care Costs
Practical Clinical Trials for Translating Research to Practice
| Unique citing works | 8 |
|---|---|
| Citations per year | 0,3 |
| Citation span | 1999 - 2018 (20) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |