戒烟的经济激励:不同奖励计划的潜在经济后果。

IF 1.9 Q3 SUBSTANCE ABUSE Tobacco Prevention & Cessation Pub Date : 2024-07-12 eCollection Date: 2024-01-01 DOI:10.18332/tpc/190617
Gintare Valentelyte, Aishling Sheridan, Paul Kavanagh, Frank Doyle, Jan Sorensen
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引用次数: 0

摘要

导言:为鼓励吸烟者戒烟,国际上一直在实施经济激励戒烟计划(FISS)。然而,此类项目需要考虑经济奖励结构及其对戒烟率的影响。我们分析了针对爱尔兰当前吸烟者的 FISS 奖励计划的多种方案,以确定在经济后果和预期效果方面的潜在影响:利用 2021-2023 年全国 QuitManager 服务数据,我们确定了目前使用爱尔兰国家卫生服务执行局戒烟服务的吸烟者的戒烟率。我们定义了 4 周、12 周和 52 周的戒烟率,并根据性别、年龄和教育程度进行了额外定义。通过假设不同的 FISS 奖励规模、结构和目标人群,我们估算出了额外戒烟者的数量、预算影响和增量成本效益比:结果:如果对 3500 名吸烟者实施 FISS 计划,可产生 25 万至 87 万欧元的预算影响。不同付费标准和预期效果大小之间的成本效益权衡表明,即使效果大小适中,FISS 也具有成本效益。在全国范围内对约 20000 名吸烟者实施 FISS 计划,根据所选择的奖励标准,成本在 200 万欧元至 480 万欧元之间。在不同的社会群体中,FISS 对女性、年龄最小的人群和中等教育水平的人群更具成本效益:这项分析强调了在设计 FISS 计划时考虑不同 FISS 计划表和潜在戒烟效应的重要性。我们强调,FISS 项目应针对特定社会群体,以实现最高的长期戒烟率。我们还发现了决策者在设计 FISS 项目的奖励结构时所面临的重要挑战。不同利益相关者对 FISS 结构的接受程度可能不同,因此应对此进行探讨。
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Financial incentives to stop smoking: Potential financial consequences of different reward schedules.

Introduction: Financial incentives to stop smoking (FISS) programs have been implemented internationally to encourage people who smoke to quit smoking. However, such programs require that the financial reward structure and its resulting effects on smoking quit rates are considered. We analyzed a number of scenarios for FISS reward schedules for current smoking individuals in Ireland, with a view to identify the potential implications in terms of financial consequences and expected effects.

Methods: Using national QuitManager services data 2021-2023, we defined smoking quit rates for smokers currently using the national Health Services Executive stop smoking services in Ireland. Smoking quit rates at 4, 12 and 52 weeks were defined, and additionally defined by sex, age and education level. Using scenarios assuming different FISS reward sizes, structures and targeted population sub-groups, we estimated the number of additional quitters, budget impact, and incremental cost-effectiveness ratio.

Results: A FISS program, if implemented for a cohort of 3500 smokers can result in a budget impact ranging €250000 - €870000. The cost-effectiveness trade-off between different payment schedules and the expected effect size suggested that FISS are cost-effective even at a moderate effect size. A FISS program implemented to approximately 20000 smokers nationally would cost between €2.0 million and €4.8 million, subject to the chosen reward schedule. Across social groups, FISS is more cost-effective for females, individuals in the youngest age group, and individuals with a medium level of education.

Conclusions: This analysis highlights the importance of considering different FISS schedules and potential quit effects, when designing such programs. We highlight that FISS programs should be targeted at certain social groups to achieve highest long-term smoking cessation rates. We also identified important challenges that decision-makers face when designing the reward structure of FISS programs. The acceptability or otherwise of the FISS structures may differ among stakeholders and should be explored.

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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
155
审稿时长
4 weeks
期刊最新文献
An exploration of attitudes regarding the use of a state tobacco Quitline for smoking cessation among low-income adults with a history of smoking. Erratum: Self-reported smoking status and exhaled carbon monoxide in secondary preventive follow-up after coronary heart events: Do our patients tell the truth? Corrigendum: Associations between vaping and daily cigarette consumption among individuals with psychological distress. Knowledge, attitudes, and referral practices for smokers to a state tobacco quitline in a federally qualified healthcare center: Healthcare provider perspectives. Association between maternal smoking and duration of breastfeeding in very low birth weight preterm infants after discharge from a Neonatal Intensive Care Unit.
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