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. 2011 Aug 11;13(3):e56.
doi: 10.2196/jmir.1694.

Modeling the cost-effectiveness of health care systems for alcohol use disorders: how implementation of eHealth interventions improves cost-effectiveness

Filip Smit  1 , Joran Lokkerbol, Heleen Riper, Maria Cristina Majo, Brigitte Boon, Matthijs Blankers
Affiliations

Modeling the cost-effectiveness of health care systems for alcohol use disorders: how implementation of eHealth interventions improves cost-effectiveness

Filip Smit et al. J Med Internet Res. .

Abstract

Background: Informing policy decisions about the cost-effectiveness of health care systems (ie, packages of clinical interventions) is probably best done using a modeling approach. To this end, an alcohol model (ALCMOD) was developed.

Objective: The aim of ALCMOD is to estimate the cost-effectiveness of competing health care systems in curbing alcohol use at the national level. This is illustrated for scenarios where new eHealth technologies for alcohol use disorders are introduced in the Dutch health care system.

Method: ALCMOD assesses short-term (12-month) incremental cost-effectiveness in terms of reductions in disease burden, that is, disability adjusted life years (DALYs) and health care budget impacts.

Results: Introduction of new eHealth technologies would substantially increase the cost-effectiveness of the Dutch health care system for alcohol use disorders: every euro spent under the current system returns a value of about the same size (€1.08, ie, a "surplus" of 8 euro cents) while the new health care system offers much better returns on investment, that is, every euro spent generates €1.62 in health-related value.

Conclusion: Based on the best available evidence, ALCMOD's computations suggest that implementation of new eHealth technologies would make the Dutch health care system more cost-effective. This type of information may help (1) to identify opportunities for system innovation, (2) to set agendas for further research, and (3) to inform policy decisions about resource allocation.

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Conflict of interest statement

None declared

Figures

Figure 1
Figure 1
Total costs and effects in millions of euros (base-case scenario versus eHealth interventions added)
Figure 2
Figure 2
ICER acceptability curve (base-case scenario versus eHealth interventions added)
Figure 3
Figure 3
Cost-benefit chart in millions of euros (base-case scenario versus eHealth interventions added)
Figure 4
Figure 4
Cost/benefit chart in millions of euros (base-case scenario versus partial substiution scenario)
See this image and copyright information in PMC

References

    1. Ezzati M, Lopez AD, Rodgers A, Murray CJL. Comparative Quantification of Health Risks: Global and Regional Burden of Diseases Attributable to Selected Major Risks. Geneva, Switzerland: World Health Organization; 2004.
    1. Rehm J, Taylor B, Room R. Global burden of disease from alcohol, illicit drugs and tobacco. Drug Alcohol Rev. 2006 Nov;25(6):503–13. doi: 10.1080/09595230600944453.M8K8L5002782J515 - DOI - PubMed
    1. Mohapatra S, Patra J, Popova S, Duhig A, Rehm J. Social cost of heavy drinking and alcohol dependence in high-income countries. Int J Public Health. 2010 Jun;55(3):149–57. doi: 10.1007/s00038-009-0108-9. - DOI - PubMed
    1. Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009 Jun 27;373(9682):2223–33. doi: 10.1016/S0140-6736(09)60746-7.S0140-6736(09)60746-7 - DOI - PubMed
    1. Smit F, Cuijpers P, Oostenbrink J, Batelaan N, de Graaf R, Beekman A. Costs of nine common mental disorders: implications for curative and preventive psychiatry. J Ment Health Policy Econ. 2006 Dec;9(4):193–200. - PubMed

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