Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada
Center for Health Economics and Policy Analysis (CHEPA), McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Tob Control. 2023 Mar;32(2):233-238. doi: 10.1136/tobaccocontrol-2021-056473. Epub 2021 Aug 10.
To determine the return on investment (ROI) associated with tobacco control policies implemented between 2001 and 2016 in Canada.
Canadian expenditures on tobacco policies were collected from government sources. The economic benefits considered in our analyses (decrease in healthcare costs, productivity costs and monetised life years lost, as well as tax revenues) were based on the changes in smoking prevalence and attributable deaths derived from the SimSmoke simulation model for the period 2001-2016. The net economic benefit (monetised benefits minus expenditures) and ROI associated with these policies were determined from the government and societal perspectives. Sensitivity analyses were conducted to check the robustness of the result. Costs were expressed in 2019 Canadian dollars.
The total of provincial and federal expenditures associated with the implementation of tobacco control policies in Canada from 2001 through 2016 was estimated at $2.4 billion. Total economic benefits from these policies during that time were calculated at $49.2 billion from the government perspective and at $54.2 billion from the societal perspective. The corresponding ROIs were $19.8 and $21.9 for every dollar invested. Sensitivity analyses yielded ROI values ranging from $16.3 to $28.3 for every dollar invested depending on the analyses and perspective.
This analysis has found that the costs to implement the Canadian tobacco policies between 2001 and 2016 were far outweighed by the monetised value associated with the benefits of these policies, making a powerful case for the investment in tobacco control policies.
确定 2001 年至 2016 年期间在加拿大实施的烟草控制政策的投资回报率（ROI）。
从政府来源收集加拿大烟草政策支出。我们分析中考虑的经济效益（医疗保健成本、生产力成本和货币化生命年损失的减少，以及税收收入）基于 SimSmoke 模拟模型得出的 2001-2016 年期间吸烟率和归因死亡人数的变化。从政府和社会角度确定这些政策的净经济效益（货币化效益减去支出）和 ROI。进行敏感性分析以检查结果的稳健性。成本以 2019 加元表示。
2001 年至 2016 年期间，加拿大实施烟草控制政策的省级和联邦支出总额估计为 24 亿美元。从政府角度来看，这些政策在此期间的总经济效益为 492 亿美元，从社会角度来看为 542 亿美元。相应的投资回报率为每投资 1 美元获得 19.8 美元和 21.9 美元。敏感性分析得出，根据分析和视角的不同，每投资 1 美元的 ROI 值范围在 16.3 美元至 28.3 美元之间。
这项分析发现，2001 年至 2016 年期间实施加拿大烟草政策的成本远远超过了这些政策效益的货币化价值，为烟草控制政策的投资提供了有力的理由。
