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首页> 外文期刊>Addictive behaviors >The potential cost-effectiveness of general practitioner delivered brief intervention for alcohol misuse: evidence from rural Australia.
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The potential cost-effectiveness of general practitioner delivered brief intervention for alcohol misuse: evidence from rural Australia.

机译：全科医生的潜在成本效益为滥用酒精提供了简短的干预措施：澳大利亚农村的证据。

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OBJECTIVE: This paper aims to model General Practitioner (GP) delivered screening and brief intervention (BI), and to identify the costs per additional risky drinker who reduces alcohol consumption to low-risk levels, relative to current practice. METHOD: A decision model and nine different scenarios were developed to assess outcomes and costs of GP-delivered screening and BI on the potential number of risky drinkers who reduce their alcohol consumption to low-risk levels in 10 rural communities in New South Wales, Australia. FINDINGS: Based on evidence from current practice, approximately 19% of all risky drinkers visiting GPs annually would reduce alcohol consumption to low-risk levels, of which 0.7% would do so because of GP-delivered screening and BI. If rates of screening and BI are increased to 100%, 36% of these risky drinkers would reduce their drinking to low risk-levels. Alternatively, increments of 10% and 20% in GP-delivered screening and BI would reduce the proportion of risky drinkers by 2.1% and 4.2% respectively. The most cost-effective outcome per additional risky drinker reducing their drinking relative to current practice would be if all of these risky drinkers are screened alone with an ICER of AUDDollars 197. CONCLUSION: These findings indicate that increments in rates of screening and BI delivered by GPs can result in cost-effective reductions per additional risky drinkers reducing their drinking to low-risk levels, relative to current practice. They also imply that achieving substantial reductions in the prevalence of risky drinking in a community will require strategies other than opportunistic screening and BIs by GPs.
机译：目的：本文旨在模拟全科医生（GP）进行的筛查和短暂干预（BI），并确定相对于当前实践，每位将酒精消耗降低至低风险水平的高风险饮酒者的成本。方法：制定了决策模型和九种不同方案，以评估GP筛查和BI的结果和成本，评估澳大利亚新南威尔士州10个农村社区中将饮酒量降低到低风险水平的潜在饮酒者的数量。结果：基于当前实践的证据，每年约有19％的高风险饮酒者会拜访全科医生，因为全科医生提供的筛查和BI可以将酒精摄入量降低到低风险水平，其中0.7％的饮酒者会这样做。如果筛查和BI的比率提高到100％，这些高风险饮酒者中的36％会将其饮酒降低到低风险水平。另外，在GP提供的筛查和BI中增加10％和20％可使危险饮酒者的比例分别减少2.1％和4.2％。与目前的做法相比，每增加一个有风险的饮酒者减少饮酒，最具成本效益的结果是，如果对所有这些有风险的饮酒者进行单独筛查，其ICER为AUDDollars197。结论：这些发现表明，筛查和BI提供的筛查率和BI增加与目前的做法相比，全科医生可以使每增加一个有风险的饮酒者降低成本，将其饮酒量降低到低风险水平。他们还暗示，要大幅降低社区中高风险饮酒的发生率，将需要采取其他策略，而不是由全科医生进行机会筛查和商业智能。

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