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

Cost Effectiveness and Resource Allocation

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