Ong Michael K, Glantz Stanton A
VA Palo Alto Health Care System, CA, USA.
Am J Public Health. 2005 Jun;95(6):969-75. doi: 10.2105/AJPH.2004.040667.
We compared the cost-effectiveness of a free nicotine replacement therapy (NRT) program with a statewide smoke-free workplace policy in Minnesota. We conducted 1-year simulations of costs and benefits. The number of individuals who quit smoking and the quality-adjusted life years (QALYs) were the measures of benefits. After 1 year, a NRT program generated 18,500 quitters at a cost of 7020 dollars per quitter (4440 dollars per QALY), and a smoke-free workplace policy generated 10,400 quitters at a cost of 799 dollars per quitter (506 dollars per QALY). Smoke-free work-place policies are about 9 times more cost-effective per new nonsmoker than free NRT programs are. Smoke-free workplace policies should be a public health funding priority, even when the primary goal is to promote individual smoking cessation.
我们比较了明尼苏达州免费尼古丁替代疗法（NRT）项目与全州范围内无烟工作场所政策的成本效益。我们进行了为期1年的成本和效益模拟。戒烟人数和质量调整生命年（QALY）作为效益衡量指标。1年后，NRT项目使18500人戒烟，每位戒烟者的成本为7020美元（每QALY为4440美元），而无烟工作场所政策使10400人戒烟，每位戒烟者的成本为799美元（每QALY为506美元）。无烟工作场所政策每新增一名不吸烟者的成本效益约为免费NRT项目的9倍。即使主要目标是促进个人戒烟，无烟工作场所政策也应成为公共卫生资金的优先投入方向。
