Altman D G, Flora J A, Fortmann S P, Farquhar J W
Am J Public Health. 1987 Feb;77(2):162-5. doi: 10.2105/ajph.77.2.162.
This study analyzed the cost-effectiveness and distribution of costs by program stage of three smoking cessation programs: a smoking cessation class; an incentive-based quit smoking contest; and a self-help quit smoking kit. The self-help program had the lowest total cost, lowest per cent quit rate, lowest time requirement for participants, and was the most cost-effective. The most effective program, the smoking cessation class, required the most time from participants, had the highest total cost, and was the least cost-effective. The smoking contest was in-between the other two programs in total costs, per cent quit rate, and cost-effectiveness; it required the same time commitment from participants as the self-help program. These findings are interpreted within the context of community-based intervention in which the argument is made that cost-effectiveness is only one of several factors that should determine the selection of smoking cessation programs.
本研究分析了三种戒烟项目在各项目阶段的成本效益及成本分布情况,这三种项目分别是:一个戒烟课程;一场基于激励机制的戒烟竞赛;以及一套自助戒烟工具包。自助项目的总成本最低、戒烟率百分比最低、参与者所需时间最少,且是最具成本效益的。最有效的项目,即戒烟课程,需要参与者投入最多的时间,总成本最高,且成本效益最低。戒烟竞赛在总成本、戒烟率百分比和成本效益方面介于其他两个项目之间;它要求参与者投入的时间与自助项目相同。这些研究结果是在社区干预的背景下进行解读的,在这种背景下,有人认为成本效益只是决定选择戒烟项目的几个因素之一。