Cost-effectiveness of counseling and pedometer use to increase physical activity in the Netherlands: a modeling study

Cost Effectiveness and Resource Allocation

Pieter HM van Baal¹  Rudolf T Hoogenveen³  Luqman Tariq⁴  Heleen HHamberg-van Reenen⁵  Matthijs van den Berg⁵  GC Wanda Wendel-Vos²  Eelco AB Over² 

[1] Institute of Health Policy and Management/Institute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, The Netherlands;Centre for Prevention and Health Services Research, National Institute for Public Health and the Environment, P.O. Box 1, 3720, BA, Bilthoven, The Netherlands;Expertise Centre for Methodology and Information Services, National Institute for Public Health and the Environment, P.O. Box 1, 3720, BA, Bilthoven, The Netherlands;Present address: GlaxoSmithKline, P.O. Box 780, 3700, AT, Zeist, The Netherlands;Centre for Public Health Forecasting, National Institute for Public Health and the Environment, P.O. Box 1, 3720, BA, Bilthoven, The Netherlands

关键词: Primary care;    Physical activity;    Pedometer use;    Counseling;    Modeling;    Prevention;    Economic evaluation;   

Others  :  810813
DOI  :  10.1186/1478-7547-10-13

 received in 2011-07-26, accepted in 2012-09-19,  发布年份 2012

【 摘 要 】

Background

Counseling in combination with pedometer use has proven to be effective in increasing physical activity and improving health outcomes. We investigated the cost-effectiveness of this intervention targeted at one million insufficiently active adults who visit their general practitioner in the Netherlands.

Methods

We used the RIVM chronic disease model to estimate the long-term effects of increased physical activity on the future health care costs and quality adjusted life years (QALY) gained, from a health care perspective.

Results

The intervention resulted in almost 6000 people shifting to more favorable physical-activity levels, and in 5100 life years and 6100 QALYs gained, at an additional total cost of EUR 67.6 million. The incremental cost-effectiveness ratio (ICER) was EUR 13,200 per life year gained and EUR 11,100 per QALY gained. The intervention has a probability of 0.66 to be cost-effective if a QALY gained is valued at the Dutch informal threshold for cost-effectiveness of preventive intervention of EUR 20,000. A sensitivity analysis showed substantial uncertainty of ICER values.

Conclusion

Counseling in combination with pedometer use aiming to increase physical activity may be a cost-effective intervention. However, the intervention only yields relatively small health benefits in the Netherlands.

【 授权许可】

   
2012 Over et al.; licensee BioMed Central Ltd.

【 图 表 】

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