[一项基于学校的吸烟预防计划的成本效益分析]
[Cost-benefit analysis of a school-based smoking prevention program].
作者信息
Hormigo Amaro Jordi, García-Altés Anna, López M José, Bartoll Xavier, Nebot Manel, Ariza Carles
机构信息
CIBER de Epidemiología y Salud Pública, España.
出版信息
Gac Sanit. 2009 Jul-Aug;23(4):311-4. doi: 10.1016/j.gaceta.2009.01.013. Epub 2009 Jun 2.
OBJECTIVE
To analyze the efficiency of a school-based smoking prevention program in Barcelona (PASE.bcn program).
METHODS
A cost-benefit analysis was performed. As costs we included those corresponding to the design and implementation of the program. As benefits we considered healthcare costs and the productivity losses avoided. This study was conducted from a societal perspective, and the estimations of costs and benefits related to 2005.
RESULTS
Assuming an effectiveness of 1%, the PASE.bcn program would achieve a total benefit of 1,558,311.46euro. The healthcare benefits per prevented smoker were 1997.57euro, and the indirect benefits per prevented smoker were 21,260.80euro. Given the total cost of the school-based program (68,526.03euro), the cost-benefit ratio was 22.74.
CONCLUSIONS
From a societal perspective, the benefits of school-based tobacco prevention programs, in terms of healthcare costs and productivity losses avoided, are far greater than the costs. These results support universal application of this type of intervention.
目的
分析巴塞罗那一项基于学校的吸烟预防项目（PASE.bcn项目）的效果。
方法
进行了成本效益分析。成本方面，我们纳入了与项目设计和实施相关的成本。效益方面，我们考虑了医疗成本和避免的生产力损失。本研究从社会角度开展，成本和效益估算与2005年相关。
结果
假设效果为1%，PASE.bcn项目将实现总效益1,558,311.46欧元。每预防一名吸烟者的医疗效益为1997.57欧元，每预防一名吸烟者的间接效益为21,260.80欧元。鉴于基于学校项目的总成本（68,526.03欧元），成本效益比为22.74。
结论
从社会角度看，基于学校的烟草预防项目在医疗成本和避免的生产力损失方面的效益远大于成本。这些结果支持此类干预措施的普遍应用。
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