Cost Effectiveness and Resource Allocation | |
Cost-effectiveness of counseling and pedometer use to increase physical activity in the Netherlands: a modeling study | |
Research | |
GC Wanda Wendel-Vos1  Eelco AB Over1  Luqman Tariq2  Matthijs van den Berg3  Heleen H Hamberg-van Reenen3  Rudolf T Hoogenveen4  Pieter HM van Baal5  | |
[1] Centre for Prevention and Health Services Research, National Institute for Public Health and the Environment, P.O. Box 1, 3720, Bilthoven, BA, The Netherlands;Centre for Prevention and Health Services Research, National Institute for Public Health and the Environment, P.O. Box 1, 3720, Bilthoven, BA, The Netherlands;GlaxoSmithKline, P.O. Box 780, 3700, Zeist, AT, The Netherlands;Centre for Public Health Forecasting, National Institute for Public Health and the Environment, P.O. Box 1, 3720, Bilthoven, BA, The Netherlands;Expertise Centre for Methodology and Information Services, National Institute for Public Health and the Environment, P.O. Box 1, 3720, Bilthoven, BA, The Netherlands;Institute of Health Policy and Management/Institute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, The Netherlands; | |
关键词: Economic evaluation; Prevention; Modeling; Counseling; Pedometer use; Physical activity; Primary care; | |
DOI : 10.1186/1478-7547-10-13 | |
received in 2011-07-26, accepted in 2012-09-19, 发布年份 2012 | |
来源: Springer | |
【 摘 要 】
BackgroundCounseling 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.MethodsWe 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.ResultsThe 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.ConclusionCounseling 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】
CC BY
© Over et al.; licensee BioMed Central Ltd. 2012
【 预 览 】
Files | Size | Format | View |
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RO202311109074642ZK.pdf | 368KB | download |
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