A microsimulation cost-utility analysis of alcohol screening and brief intervention to reduce heavy alcohol consumption in Canada.

摘要: Background and Aims Screening brief intervention (SBI) is a public health that has been shown to be effective in reducing heavy alcohol consumption. The aim of this study estimate the cost-effectiveness implementing universal SBI primary care Canada. Design We developed microsimulation model consumption its effects on 18 alcohol-related causes death. Setting The simulates Canadian population. Participants The individuals their continuous scale starting from age 17 years death. Interventions The reference case assumes no Canada. base screening was conducted using Alcohol Use Disorders Identification Test (AUDIT) at threshold score 8. Additional analyses included evaluating AUDIT scores between 4 8 or Derived (AUDIT-C) 3 7. Measurements The estimates direct health-care costs, life years gained quality-adjusted (QALY) gained, which are then used incremental ratio (ICER) versus SBI. Findings SBI with (at 8) had an ICER $8729/QALY. Our results suggest thresholds 4, inclusive, would cost-effective for whole population, as well men women individually. AUDIT-C 7 3, men, population. Conclusions In Canada, via reduce appears lower lower.