9 research outputs found
Strategies in primary healthcare to implement early identification of risky alcohol consumption: why do they work or not? A qualitative evaluation of the ODHIN study
Full text linkImpact of practice, provider and patient characteristics on delivering screening and brief advice for heavy drinking in primary healthcare: Secondary analyses of data from the ODHIN five-country cluster randomized factorial trial
Get PDFImplementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN): study protocol for a cluster randomized factorial trial
No full textTabla de contenido: 1. ViolÃn primero; 2. ViolÃn segundo; 3. Trompa primera; 4. Trompa segunda; 5. Bajón; 6. Acompañamiento; 7. Tiple primero; 8. Tiple segundo; 9. Alto; 10. Bajete.Folio 1v. Acompañamiento al Magnificat.Folio 3. ViolÃn primero.Folio 7. ViolÃn segundo.Folio 9. Trompa primera.Folio 10. Trompa segunda.Folio 11. Bajón al Magnificat.Folio 12. Tiple primero.Folio 16. Tiple segundo.Folio 20. Alto.Folio 24. Bajete.Folio 12-26. Letra
Implementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN): study protocol for a cluster randomized factorial trial
Get PDFProfessional\u27s Attitudes Do Not Influence Screening and Brief Interventions Rates for Hazardous and Harmful Drinkers: Results from ODHIN Study
No full textFinancial reimbursement - irrelevant for GPs’ readiness to implement brief intervention to reduce alcohol consumption? A cross-sectional vignette study
No full textThe efficacy of iCBT added to treatment as usual for alcohol-dependent patients in primary care: study protocol for a randomized controlled trial
No full textCost-effectiveness of a programme of screening and brief interventions for alcohol in primary care in Italy
Get PDFBackground
As alcohol-related health problems continue to rise, the attention of policy-makers is increasingly turning to Screening and Brief Intervention (SBI) programmes. The effectiveness of such programmes in primary healthcare is well evidenced, but very few cost-effectiveness analyses have been conducted and none which specifically consider the Italian context.
Methods
The Sheffield Alcohol Policy Model has been used to model the cost-effectiveness of government pricing and public health policies in several countries including England. This study adapts the model using Italian data to evaluate a programme of screening and brief interventions in Italy. Results are reported as Incremental Cost-Effectiveness Ratios (ICERs) of SBI programmes versus a ‘do-nothing’ scenario.
Results
Model results show such programmes to be highly cost-effective, with estimated ICERs of €550/Quality Adjusted Life Year (QALY) gained for a programme of SBI at next GP registration and €590/QALY for SBI at next GP consultation. A range of sensitivity analyses suggest these results are robust under all but the most pessimistic assumptions.
Conclusions
This study provides strong support for the promotion of a policy of screening and brief interventions throughout Italy, although policy makers should be aware of the resource implications of different implementation options
