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Review
. 2010 Nov;29(6):623-30.
doi: 10.1111/j.1465-3362.2010.00238.x.

Conducting economic evaluations of screening and brief intervention for hazardous drinking: Methods and evidence to date for informing policy

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Review

Conducting economic evaluations of screening and brief intervention for hazardous drinking: Methods and evidence to date for informing policy

Alexander J Cowell et al. Drug Alcohol Rev. 2010 Nov.

Abstract

Issues: Many policy review articles have concluded that alcohol screening and brief intervention (SBI) is both cost-effective and cost-beneficial. Yet a recent cost-effectiveness review for the United Kingdom's National Institute for Health and Clinical Excellence suggests that these conclusions may be premature.

Approach: This article offers a brief synopsis of the various types of economic analyses that may be applied to SBI, including cost analysis, cost-effectiveness analysis, cost-utility analysis, cost-benefit analysis and other types of economic evaluation. A brief overview of methodological issues is provided, and examples from the SBI evaluation literature are provided.

Key findings, implications and conclusions: The current evidence base is insufficient to draw firm conclusions about the cost, cost-effectiveness or cost-benefit of SBI and about the impact of SBI on health-care utilisation.[Cowell AJ, Bray JW, Mills MJ, Hinde JM. Conducting economic evaluations of screening and brief intervention for hazardous drinking: Methods and evidence to date for informing policy.

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Figures

Figure 1
Figure 1
Connections between cost, cost-effectiveness, cost-utility, and cost-benefit analysis

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