Tuyển tập các nghiên cứu khoa học của trường đại học Huế đề tài: Đánh giá hiệu quả chi phí can thiệp để giảm bớt gánh nặng thiệt hại liên quan đến lạm dụng rượu: ace rượu. | JOURNAL OF SCIENCE Hue University N0 61 2010 ASSESSING COST-EFFECTIVE INTERVENTIONS TO REDUCE THE BURDEN OF HARM ASSOCIATED WITH ALCOHOL MISUSE ACE ALCOHOL Christopher Doran National Drug and Alcohol Research Centre University of New South Wales Theo Vos Linda Cobiac Wayne Hall Isaac Asamoah Angela Wallace Shamesh Naidoo Joshua Byrnes Greg Fowler Kathryn Arnett School ofPopulation Health University of Queensland SUMMARY Introduction Alcohol is an important risk factor for disease and injury. A number of strategies are available for both treating and preventing alcohol-related harm. The purpose of the presentation will be to discuss the results of the recently completed cost-effectiveness analysis of interventions to reduce the burden of harm associated with alcohol misuse in Australia ACE-Alcohol . Methods Cost-effectiveness analysis is based on one-off intervention in the first year with all costs and health outcomes evaluated over the lifetime of the target group in the Australian population in the baseline year of 2003. The health outcomes are evaluated in disability-adjusted life years DALYs using a multi-state multiple cohort lifetable approach to determine changes in mortality and morbidity of alcohol-related diseases and injuries. Cost offsets are evaluated from the number of incident or prevalent cases of disease or injury averted. Results The results suggest that there is large variability in the health gains that can be achieved with different methods of intervention. With the exception of increasing the minimum legal drinking age to age 21 which benefits only those aged between 18 and 20 years the interventions that target hazardous and harmful drinkers brief intervention telemarketing and support or alcohol dependents residential treatment naltrexone avert fewer DALYs than the population-wide interventions. When combined as a package the alcohol interventions could avert 26 000 DALYs at a total intervention cost of 210 million. The costs of intervention
