Modelling the potential health, health economic and health inequality impact of a large-scale rollout of the Drink Less app in England.

IF 4.9 2区 医学 Q1 ECONOMICS
Angus Colin, Oldham Melissa, Burton Robyn, Dina Larisa-Maria, Field Matt, Hickman Mattew, Kaner Eileen, Loebenberg Gemma, Munafò Marcus, Pizzo Elena, Brown Jamie, Garnett Claire
{"title":"Modelling the potential health, health economic and health inequality impact of a large-scale rollout of the Drink Less app in England.","authors":"Angus Colin, Oldham Melissa, Burton Robyn, Dina Larisa-Maria, Field Matt, Hickman Mattew, Kaner Eileen, Loebenberg Gemma, Munafò Marcus, Pizzo Elena, Brown Jamie, Garnett Claire","doi":"10.1016/j.jval.2024.11.007","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Alcohol places a significant burden on the NHS, yet uptake of cost-effective approaches remains low. Digital interventions may overcome some barriers to delivery. The Drink Less app has evidence of being effective at supporting heavier drinkers to reduce their alcohol intake. In this study we estimate the longer-term health impacts, cost-effectiveness and health inequality impact of a large-scale rollout of the Drink Less app.</p><p><strong>Methods: </strong>We used the Sheffield Alcohol Policy Model to estimate changes in alcohol consumption, hospital admissions, mortality and NHS costs of two rollout scenarios over a 20-year time horizon: i) a mass media awareness campaign and ii) a targeted drive to embed referral to Drink Less within primary care. We modelled the cost-effectiveness and inequality impacts of each approach in a Distributional Cost-Effectiveness Analysis.</p><p><strong>Results: </strong>A mass media campaign is estimated to reduce per capita alcohol consumption by 0.07 units/week and avert 108,556 hospital admissions and 2,606 deaths over 20 years, gaining 24,787 QALYs at a net saving to the NHS of £417m. Embedding in primary care is estimated to reduce consumption by 0.13 units/week, saving 188,452 admissions and 4,599 deaths and gaining 38,897 QALYs at a net saving of £590m. Both scenarios are estimated to reduce health inequalities, with a larger reduction for the primary care approach.</p><p><strong>Conclusions: </strong>A large-scale rollout of the Drink Less app is estimated to be health-improving, cost-saving, and to reduce health inequalities. Embedding the use of Drink Less within primary care is likely to be the more effective approach.</p>","PeriodicalId":23508,"journal":{"name":"Value in Health","volume":" ","pages":""},"PeriodicalIF":4.9000,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Value in Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jval.2024.11.007","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ECONOMICS","Score":null,"Total":0}
引用次数: 0

Abstract

Objectives: Alcohol places a significant burden on the NHS, yet uptake of cost-effective approaches remains low. Digital interventions may overcome some barriers to delivery. The Drink Less app has evidence of being effective at supporting heavier drinkers to reduce their alcohol intake. In this study we estimate the longer-term health impacts, cost-effectiveness and health inequality impact of a large-scale rollout of the Drink Less app.

Methods: We used the Sheffield Alcohol Policy Model to estimate changes in alcohol consumption, hospital admissions, mortality and NHS costs of two rollout scenarios over a 20-year time horizon: i) a mass media awareness campaign and ii) a targeted drive to embed referral to Drink Less within primary care. We modelled the cost-effectiveness and inequality impacts of each approach in a Distributional Cost-Effectiveness Analysis.

Results: A mass media campaign is estimated to reduce per capita alcohol consumption by 0.07 units/week and avert 108,556 hospital admissions and 2,606 deaths over 20 years, gaining 24,787 QALYs at a net saving to the NHS of £417m. Embedding in primary care is estimated to reduce consumption by 0.13 units/week, saving 188,452 admissions and 4,599 deaths and gaining 38,897 QALYs at a net saving of £590m. Both scenarios are estimated to reduce health inequalities, with a larger reduction for the primary care approach.

Conclusions: A large-scale rollout of the Drink Less app is estimated to be health-improving, cost-saving, and to reduce health inequalities. Embedding the use of Drink Less within primary care is likely to be the more effective approach.

求助全文
约1分钟内获得全文 求助全文
来源期刊
Value in Health
Value in Health 医学-卫生保健
CiteScore
6.90
自引率
6.70%
发文量
3064
审稿时长
3-8 weeks
期刊介绍: Value in Health contains original research articles for pharmacoeconomics, health economics, and outcomes research (clinical, economic, and patient-reported outcomes/preference-based research), as well as conceptual and health policy articles that provide valuable information for health care decision-makers as well as the research community. As the official journal of ISPOR, Value in Health provides a forum for researchers, as well as health care decision-makers to translate outcomes research into health care decisions.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信