Phillips C J, Prowle M J
Newport Business School, Gwent College of Higher Education.
J Epidemiol Community Health. 1993 Jun;47(3):215-23. doi: 10.1136/jech.47.3.215.
This study aims to apply economic principles and techniques in evaluating a health promotion programme.
This study is an economic appraisal of the Heartbeat Wales no smoking intervention programme. The costs incurred over the four year period 1985-89 have been identified and estimates have been made of the likely future impact of the reduced smoking prevalence within Wales in terms of reduced morbidity and displaced mortality in three disease groups--coronary heart disease, lung cancer, and chronic bronchitis.
Wales, UK.
The net present value of benefits is considerably greater than costs in terms of both the NHS and the economy as a whole in Wales. In addition, the net costs per life year saved shows that the programme generates additional working life years at relatively low cost. Because not all the benefits can be fully attributed to the programme 'impact rates' ranging from 100 to 10% have been applied to the level of benefits. The evidence suggests that even if only 10% of the benefits could be attributed to the programme there is still a positive net present value of benefits. The relative efficiency of this programme has not been considered here.
Large scale benefits to the NHS and the economy as a whole can be derived from reductions in smoking.
本研究旨在运用经济原理和技术评估一项健康促进计划。
本研究是对威尔士心跳无烟干预计划的经济评估。已确定了1985 - 1989年四年期间产生的成本，并就威尔士吸烟率降低对三个疾病组（冠心病、肺癌和慢性支气管炎）发病率降低和死亡人数减少方面可能产生的未来影响进行了估算。
英国威尔士。
就威尔士国民健康服务体系（NHS）和整个经济而言，收益的净现值远大于成本。此外，每挽救一个生命年的净成本表明，该计划以相对较低的成本产生了额外的工作生命年。由于并非所有收益都可完全归因于该计划，因此已对收益水平应用了100%至10%的“影响率”。有证据表明，即使只有10%的收益可归因于该计划，收益的净现值仍为正值。本研究未考虑该计划的相对效率。
减少吸烟可为NHS和整个经济带来巨大益处。
