[Cost-benefit of medical advice for quitting smoking in the Region of Murcia].
OBJECTIVE
To perform a cost-benefit analysis of brief medical advice to quit smoking in the Region of Murcia.


METHODS
A cost-benefit analysis is performed on brief medical advice to quit smoking versus non-intervention. A Markov model is used to estimate the costs (€ in 2014), under the perspective of the National Health System, and health outcomes. These are measured in quality-adjusted life years (QALY). The time horizon of the analysis is 20years, and costs and health outcomes were discounted at 3%. A univariate and multivariate deterministic sensitivity analysis is performed.


METHODS
Region of Murcia.


METHODS
Smokers in the Region of Murcia.


METHODS
Brief advice to quit smoking.


METHODS
Quality Adjusted Life Years (QALYs).


RESULTS
With a time horizon of 5years (2018), the incremental cost-effectiveness ratio (ICER) would be €172,400 per QALY gained; at 10years (2023) the ICER was €30,300 per QALY gained; and, for the maximum horizon considered by the model, the ICER was €7,260 per QALY gained.


CONCLUSIONS
Brief advice intervention is more efficient in the long-term than in the short-term and, depending on the Spanish cost-benefit threshold, public funding for this intervention would be recommended.
Departamento de Economía, Universidad Politécnica de Cartagena, Cartagena, Murcia, España; Centre de Recerca en Economia i Salut (CRES-UPF), Universitat Pompeu Fabra, Barcelona, España.
Angel
A
López-Nicolás
Centre de Recerca en Economia i Salut (CRES-UPF), Universitat Pompeu Fabra, Barcelona, España; Facultat de Ciències Econòmiques i Socials, Universitat Internacional de Catalunya (UIC), Barcelona, España. Electronic address: mtrapero@uic.es.
Marta
M
Trapero-Bertran
Centre de Recerca en Economia i Salut (CRES-UPF), Universitat Pompeu Fabra, Barcelona, España.
Celia
C
Muñoz
Atención primaria; Brief advice; Consejo médico breve; Economic evaluation; Evaluación económica; Fumar; Murcia Region; Primary care; Región de Murcia; Smoking