Economic evaluation of interventions for problem drinking and alcohol dependence: Cost per QALY estimates

Duncan Mortimer, Leonie Segal

    Research output: Contribution to journalArticle

    29 Citations (Scopus)

    Abstract

    Aims: To compare the performance of competing and complementary interventions for prevention or treatment of problem drinking and alcohol dependence. To provide an example of how health maximising decision-makers might use performance measures such as cost per quality adjusted life year (QALY) league tables to formulate an optimal package of interventions for problem drinking and alcohol dependence. Methods: A time-dependent state-transition model was used to estimate QALYs gained per person for each intervention as compared to usual care in the relevant target population. Results: Cost per QALY estimates for each of the interventions fall below any putative funding threshold for developed economies. Interventions for problem drinkers appear to offer better value than interventions targeted at those with a history of severe physical dependence. Conclusions: Formularies such as Australia's Medicare should include a comprehensive package of interventions for problem drinking and alcohol dependence.

    LanguageEnglish
    Pages549-555
    Number of pages7
    JournalAlcohol and Alcoholism
    Volume40
    Issue number6
    DOIs
    Publication statusPublished - 1 Nov 2005

    ASJC Scopus subject areas

    • Medicine (miscellaneous)
    • Toxicology
    • Psychiatry and Mental health

    Cite this

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    abstract = "Aims: To compare the performance of competing and complementary interventions for prevention or treatment of problem drinking and alcohol dependence. To provide an example of how health maximising decision-makers might use performance measures such as cost per quality adjusted life year (QALY) league tables to formulate an optimal package of interventions for problem drinking and alcohol dependence. Methods: A time-dependent state-transition model was used to estimate QALYs gained per person for each intervention as compared to usual care in the relevant target population. Results: Cost per QALY estimates for each of the interventions fall below any putative funding threshold for developed economies. Interventions for problem drinkers appear to offer better value than interventions targeted at those with a history of severe physical dependence. Conclusions: Formularies such as Australia's Medicare should include a comprehensive package of interventions for problem drinking and alcohol dependence.",
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    Economic evaluation of interventions for problem drinking and alcohol dependence : Cost per QALY estimates. / Mortimer, Duncan; Segal, Leonie.

    In: Alcohol and Alcoholism, Vol. 40, No. 6, 01.11.2005, p. 549-555.

    Research output: Contribution to journalArticle

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