Economic Evaluation of Combining Pharmaco- and Behavioral Therapies for Smoking Cessation in an Occupational Medicine Setting

J Occup Environ Med. 2019 Apr;61(4):318-327. doi: 10.1097/JOM.0000000000001546.

Abstract

Objective: To estimate the budget impact (BI) of funding pharmaco+behavioral therapies for smoking cessation from an employer perspective.

Methods: A hybrid economic model was applied to estimate the BI, which considered up to four cessation attempts over a 3-year horizon. The model estimated the costs of funding a cessation programme, and the mean savings due to avoided loss of productivity and absenteeism because of smoking cessation.

Results: 53.8% of smokers quit smoking. The programme, which costs &OV0556;394,468, would generate earnings of &OV0556;1,342,133; with &OV0556;644,974 in incremental net savings. These mean &OV0556;1.64 in return per each euro invested. Results show net benefits from two cigarettes smoked while working every day.

Conclusions: Considering the avoided costs of loss of productivity and absenteeism, funding a smoking cessation programme of pharmaco+behavioral therapies would produce substantial savings for the employer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absenteeism
  • Adolescent
  • Adult
  • Aged
  • Behavior Therapy / economics*
  • Behavior Therapy / methods
  • Combined Modality Therapy
  • Efficiency
  • Female
  • Health Care Costs / statistics & numerical data*
  • Humans
  • Male
  • Middle Aged
  • Models, Economic
  • Occupational Health Services / economics
  • Occupational Health Services / methods*
  • Smoking / economics
  • Smoking / therapy*
  • Smoking Cessation / economics
  • Smoking Cessation / methods*
  • Smoking Cessation Agents / economics*
  • Smoking Cessation Agents / therapeutic use
  • Spain
  • Young Adult

Substances

  • Smoking Cessation Agents