title: Efficiency of "Prescribe Vida Saludable", a health promotion innovation. Pilot phase.
abstract: OBJECTIVE
  "Prescribe Vida Saludable" (PVS) is an organisational innovation designed to optimise the promotion of multiple healthy habits in primary healthcare. It aims to estimate the cost effectiveness and cost-utility of prescribing physical activity in the pilot phase of the PVS programme, compared to the routine clinical practice of promoting physical activity in primary healthcare.
  
  
  METHODS
  An economic evaluation of the quasi-experimental pilot phase of PVS was carried out. In the four control centres, a systematic sample was selected of 194 patients who visited the centre in a single year and who did not comply with physical activity recommendations. In the four intervention centres, 122 patients who received their first physical activity prescription were consecutively enrolled. The costs were evaluated from the perspective of the PVS programme using bottom-up methodology. The effectiveness (proportion of patients who changed their physical activity) as well as the utility were evaluated at baseline and after 3 months. The incremental cost-utility ratio (ICUR) and the incremental cost-effectiveness ratio (ICER) were calculated and a sensitivity analysis was performed with bootstrapping and 1,000 replications.
  
  
  RESULTS
  Information was obtained from 35% of control cases and 62% of intervention cases. The ICUR was €1,234.66/Quality Adjusted Life Years (QALY) and the ICER was €4.12. In 98.3% of the simulations, the ICUR was below the €30,000/QALY threshold.
  
  
  CONCLUSIONS
  The prescription of physical activity was demonstrably within acceptable cost-utility limits in the pilot PVS phase, even from a conservative perspective.
authors.affiliation: Primary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, Spain. Electronic address: asanzguinea@gmail.com.
authors.forename: Aitor
authors.initials: A
authors.lastname: Sanz-Guinea
authors.affiliation: Primary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, Spain.
authors.forename: Maite
authors.initials: M
authors.lastname: Espinosa
authors.affiliation: Primary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, Spain.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Grandes
authors.affiliation: Primary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, Spain.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Sáncheza
authors.affiliation: Primary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, Spain.
authors.forename: Catalina
authors.initials: C
authors.lastname: Martínez
authors.affiliation: Primary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, Spain.
authors.forename: Haizea
authors.initials: H
authors.lastname: Pombo
authors.affiliation: Primary Care Research Unit of Bizkaia, Basque Healthcare Service, Osakidetza, Bilbao, Spain.
authors.forename: Paola
authors.initials: P
authors.lastname: Bully
authors.affiliation: Primary Healthcare Centre Deusto, Basque Healthcare Service, Osakidetza, Deusto (Bilbao), Spain.
authors.forename: Josep
authors.initials: J
authors.lastname: Cortada
mesh_terms: D003362:Cost-Benefit Analysis; D015444:Exercise; D005260:Female; D006293:Health Promotion / Q000191:economics* / Q000379:methods*; D000070497:Healthy Lifestyle; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects
keywords: Actividad motora; Análisis de coste-beneficio; Atención primaria; Años de vida ajustados por calidad; Cost-benefit analysis; Motor activity; Primary healthcare; Quality-adjusted life years