Modelling the Cost-Effectiveness of Alcohol Screening and Brief Interventions in Primary Care in England

Purshouse, Robin C.; Brennan, Alan; Rafia, Rachid; Latimer, Nicholas R.; Archer, Rachel J.; Angus, Colin R.; Preston, Louise R.; Meier, Petra S.

doi:10.1093/alcalc/ags103

Cited by 83Substance Abuse Treatment and OutcomesHealth Systems, Economic Evaluations, Quality of LifeAlcohol Consumption and Health Effects

Modelling the Cost-Effectiveness of Alcohol Screening and Brief Interventions in Primary Care in England

Purshouse, Robin C., Brennan, Alan, Rafia, Rachid, Latimer, Nicholas R., Archer, Rachel J., Angus, Colin R., Preston, Louise R., Meier, Petra S.·2013·Alcohol and Alcoholism

DOI 10.1093/alcalc/ags103

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Abstract

AIMS: To estimate the cost-effectiveness and resourcing implications of universal alcohol screening and brief intervention (SBI) programmes in primary care in England. METHODS: This was a health economic model, combining evidence of the effectiveness and health care resource requirements of SBI activities with existing epidemiological modelling of the relationship between alcohol consumption and health harms. RESULTS: Screening patients on registration with a family doctor would steadily capture ~40% of the population over a 10-year programme; screening patients at next primary care consultation would capture 96% of the population over the same period, but with high resourcing needs in the first year. The registration approach, delivered by a practice nurse, provides modest cost savings to the health care system of £120 m over 30 years. Health gains over the same period amount to 32,000 quality-adjusted life years (QALYs). This SBI programme still appears cost-effective (at £6900 per QALY gained) compared with no programme, under pessimistic effectiveness assumptions. Switching to a consultation approach, delivered by a doctor, would incur an incremental net cost of £108 m, with incremental health gains equivalent to 92,000 QALYs, giving an incremental cost-effectiveness ratio of £1175 per QALY gained compared with current practice. CONCLUSION: A universal programme of alcohol SBI in primary care is estimated to be cost-effective, under all but the most pessimistic assumptions for programme costs and effectiveness. Policymakers should ensure that SBI programmes are routinely evaluated and followed up, given the substantial uncertainty over the effects of many of the implementation details.

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Alcohol screening and brief interventions in primary care settings are effective and cost-effective or cost-saving.
“In the past four decades, randomized controlled trials and meta-analyses have found alcohol SBI in primary care settings to be effective and cost-effective or cost-saving [6–13].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [12]
The studies in this analysis did not conduct diagnostic interviews to assess for alcohol dependence.
“Just as in many trials of brief alcohol interventions and routine practice studies [18], [79], the studies in our analysis did not conduct diagnostic interviews to assess for alcohol dependence.”
From Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis (2014) · cites this paper as [18]

Untitled work
(1991) · Medical Entomology and Zoology · Cited by 4,438 · see citing works
Alcohol: No Ordinary Commodity. Research and public policy
Babor, T. F., Caetano, R., Casswell, S., Edwards, G., Giesbrecht, N., Graham, K., Grube, J. W., Hill, L., Holder, H. D., Homel, R. J., et al. (2003) · Cited by 1,718 · see citing works
Effectiveness of brief alcohol interventions in primary care populations
Kaner, E. F., Beyer, F. R., Muirhead, C., Campbell, F., Pienaar, E. D., Bertholet, N., Daeppen, J. B., Saunders, J. B., & Burnand, B. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004148.pub4 · Cited by 1,665 · see citing works
Alcohol: No Ordinary Commodity
Babor, T. F., Caetano, R., Casswell, S., Edwards, G., Giesbrecht, N., Graham, K., Grube, J. W., Gruenewald, P. J., Hill, L., Holder, H. D., et al. (2003) · doi:10.1093/oso/9780192632616.001.0001 · Cited by 784 · see citing works
Effectiveness of brief alcohol interventions in primary care populations
Kaner, E. F. S., Dickinson, H. O., Beyer, F. R., Campbell, F., Schlesinger, C., Heather, N., Saunders, J. B., Burnand, B., & Pienaar, E. D. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004148.pub3 · Cited by 746 · see citing works
Brief Physician Advice for Problem Drinkers: Long-Term Efficacy and Benefit-Cost Analysis
Fleming, M. F., Mundt, M. P., French, M. T., Manwell, L. B., Stauffacher, E. A., & Barry, K. L. (2002) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2002.tb02429.x · Cited by 531 · see citing works
NHS Information Centre
Straughan, T. (2008) · British Journal of Healthcare Management · doi:10.12968/bjhc.2008.14.8.30687 · Cited by 331 · see citing works
Primary Care Intervention to Reduce Alcohol Misuse
Solberg, L. I., Maciosek, M. V., & Edwards, N. M. (2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.09.035 · Cited by 284 · see citing works
Estimated effect of alcohol pricing policies on health and health economic outcomes in England: an epidemiological model
Purshouse, R. C., Meier, P. S., Brennan, A., Taylor, K. B., & Rafia, R. (2010) · The Lancet · doi:10.1016/s0140-6736(10)60058-x · Cited by 260 · see citing works
Self-citation
Research and Public Policy
Eron, L. D. (1996) · PEDIATRICS · doi:10.1542/peds.98.4.821 · Cited by 182 · see citing works
Policy options for alcohol price regulation: the importance of modelling population heterogeneity
Meier, P. S., Purshouse, R. C., & Brennan, A. (2009) · Addiction · doi:10.1111/j.1360-0443.2009.02721.x · Cited by 180 · see citing works
Self-citation
The Drinker’s Effect on the Social Environment: A Conceptual Framework for Studying Alcohol’s Harm to Others
Room, R., Ferris, J., Laslett, A., Livingston, M., Mugavin, J., & Wilkinson, C. (2010) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph7041855 · Cited by 136 · see citing works
The health benefits of prevention: a simulation approach.
Gunning-Schepers, L. J. (1989) · PubMed · Cited by 128 · see citing works
Brief interventions and alcohol use.
Freemantle, N., Gill, P., Godfrey, C., Long, A., Richards, C., Sheldon, T., Song, F., & Webb, J. (1993) · BMJ Quality & Safety · doi:10.1136/qshc.2.4.267 · Cited by 110 · see citing works
Effectiveness and cost-effectiveness of a stepped care intervention for alcohol use disorders in primary care: pilot study
Drummond, C., Coulton, S., James, D., Godfrey, C., Parrott, S., Baxter, J., Ford, D., Lervy, B., Rollnick, S., Russell, I., et al. (2009) · British Journal of Psychiatry · doi:10.1192/bjp.bp.108.056697 · Cited by 93 · see citing works
Effectiveness of nurse-led brief alcohol intervention: a cluster randomized controlled trial
Lock, C. A., Kaner, E., Heather, N., Doughty, J., Crawshaw, A., McNamee, P., Purdy, S., & Pearson, P. (2006) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.03836.x · Cited by 81 · see citing works
Cost-Effectiveness of an Opportunistic Screening Programme and Brief Intervention for Excessive Alcohol Use in Primary Care
Tariq, L., van den Berg, M., Hoogenveen, R. T., & van Baal, P. H. M. (2009) · PLoS ONE · doi:10.1371/journal.pone.0005696 · Cited by 45 · see citing works
The cost of alcohol harm to the NHS in England
Parker, R. (2008) · Cited by 15 · see citing works
Improving the delivery of the alcohol direct enhanced service. A step-by-step guide for commissioners, primary care practitioners and practice managers.
Pechey, L. (2011) · Cited by 2 · see citing works

Flagged first, then by citations

2 of the 21 references couldn’t be matched to a known paper.

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The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews
O'Donnell, A., Anderson, P., Newbury-Birch, D., Schulte, B., Schmidt, C., Reimer, J., & Kaner, E. (2014) · Alcohol and Alcoholism · doi:10.1093/alcalc/agt170 · Cited by 613 · see citing works
Personalised digital interventions for reducing hazardous and harmful alcohol consumption in community-dwelling populations
Kaner, E. F., Beyer, F. R., Garnett, C., Crane, D., Brown, J., Muirhead, C., Redmore, J., O'Donnell, A., Newham, J. J., de Vocht, F., et al. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011479.pub2 · Cited by 308 · see citing works
Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis
Riper, H., Blankers, M., Hadiwijaya, H., Cunningham, J., Clarke, S., Wiers, R., Ebert, D., & Cuijpers, P. (2014) · PLoS ONE · doi:10.1371/journal.pone.0099912 · Cited by 265 · see citing works
Use of health economic evaluation in the implementation and improvement science fields—a systematic literature review
Roberts, S. L. E., Healey, A., & Sevdalis, N. (2019) · Implementation Science · doi:10.1186/s13012-019-0901-7 · Cited by 161 · see citing works
Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Implementation Science · doi:10.1186/s13012-020-01073-0 · Cited by 141 · see citing works
A smartphone app to reduce excessive alcohol consumption: Identifying the effectiveness of intervention components in a factorial randomised control trial
Crane, D., Garnett, C., Michie, S., West, R., & Brown, J. (2018) · Scientific Reports · doi:10.1038/s41598-018-22420-8 · Cited by 118 · see citing works
Comparison of brief interventions in primary care on smoking and excessive alcohol consumption: a population survey in England
Brown, J., West, R., Angus, C., Beard, E., Brennan, A., Drummond, C., Hickman, M., Holmes, J., Kaner, E., & Michie, S. (2016) · British Journal of General Practice · doi:10.3399/bjgp16x683149 · Cited by 96 · see citing works
Self-citation
Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial: Alcohol brief advice in primary health care
Anderson, P., Bendtsen, P., Spak, F., Reynolds, J., Drummond, C., Segura, L., Keurhorst, M. N., Palacio-Vieira, J., Wojnar, M., Parkinson, K., et al. (2016) · Addiction · doi:10.1111/add.13476 · Cited by 98 · see citing works
Factors Influencing Usability of a Smartphone App to Reduce Excessive Alcohol Consumption: Think Aloud and Interview Studies
Crane, D., Garnett, C., Brown, J., West, R., & Michie, S. (2017) · Frontiers in Public Health · doi:10.3389/fpubh.2017.00039 · Cited by 82 · see citing works
What are the Implications for Policy Makers? A Systematic Review of the Cost-Effectiveness of Screening and Brief Interventions for Alcohol Misuse in Primary Care
Angus, C., Latimer, N. R., Preston, L., Li, J., & Purshouse, R. C. (2014) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2014.00114 · Cited by 95 · see citing works
Self-citation
Managing Alcohol Problems in General Practice in Europe: Results from the European ODHIN Survey of General Practitioners
Anderson, P., Wojnar, M., Jakubczyk, A., Gual, A., Reynolds, J., Segura, L., Sovinova, H., Csemy, L., Kaner, E., Newbury-Birch, D., et al. (2014) · Alcohol and Alcoholism · doi:10.1093/alcalc/agu043 · Cited by 83 · see citing works
Potential benefits of minimum unit pricing for alcohol versus a ban on below cost selling in England 2014: modelling study
Brennan, A., Meng, Y., Holmes, J., Hill‐McManus, D., & Meier, P. S. (2014) · BMJ · doi:10.1136/bmj.g5452 · Cited by 66 · see citing works
Self-citation
Online Alcohol Assessment and Feedback for Hazardous and Harmful Drinkers: Findings From the AMADEUS-2 Randomized Controlled Trial of Routine Practice in Swedish Universities
Bendtsen, P., Bendtsen, M., Karlsson, N. E., White, I. R., & McCambridge, J. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4020 · Cited by 48 · see citing works
Strategies to Overcome Barriers to Implementation of Alcohol Screening and Brief Intervention in General Practice: a Delphi Study Among Healthcare Professionals and Addiction Prevention Experts
Abidi, L., Oenema, A., Nilsen, P., Anderson, P., & van de Mheen, D. (2016) · Prevention Science · doi:10.1007/s11121-016-0653-4 · Cited by 47 · see citing works
“…Netherlands 5 Erasmus Medical Center, Rotterdam, The Netherlands indicating that ASBI, compared with control conditions, leads to significant reductions in alcohol consumption (average reduction of 38 g a week) as well as savings to healthcare resources (Angus et al. 2014; Purshouse et al. 2013).”
Background
Cost-effectiveness of a programme of screening and brief interventions for alcohol in primary care in Italy
Angus, C., Scafato, E., Ghirini, S., Torbica, A., Ferre, F., Struzzo, P., Purshouse, R., & Brennan, A. (2014) · BMC Family Practice · doi:10.1186/1471-2296-15-26 · Cited by 46 · see citing works
Self-citation
Evaluating the effectiveness of a smartphone app to reduce excessive alcohol consumption: protocol for a factorial randomised control trial
Garnett, C. V., Crane, D., Michie, S., West, R., & Brown, J. (2016) · BMC Public Health · doi:10.1186/s12889-016-3140-8 · Cited by 42 · see citing works
Personalised digital interventions for reducing hazardous and harmful alcohol consumption in community-dwelling populations
Kaner, E., Beyer, F. R., Brown, J., Crane, D., Garnett, C. V., Hickman, M., Muirhead, C. R., Redmore, J., Michie, S., & de Vocht, F. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011479 · Cited by 40 · see citing works
Impact of the introduction and withdrawal of financial incentives on the delivery of alcohol screening and brief advice in English primary health care: an interrupted time–series analysis
O'Donnell, A. J., Angus, C., Hanratty, B., Hamilton, F. L., Petersen, I., & Kaner, E. (2019) · Addiction · doi:10.1111/add.14778 · Cited by 37 · see citing works
Self-citation
A systematic review of modelling approaches in economic evaluations of health interventions for drug and alcohol problems
Hoang, V. P., Shanahan, M., Shukla, N., Perez, P., Farrell, M., & Ritter, A. J. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1368-8 · Cited by 35 · see citing works
Alcohol brief intervention in community pharmacies: a feasibility study of outcomes and customer experiences
Khan, N. S., Norman, I. J., Dhital, R., McCrone, P., Milligan, P., & Whittlesea, C. (2013) · International Journal of Clinical Pharmacy · doi:10.1007/s11096-013-9845-1 · Cited by 34 · see citing works
Alcohol consumption’s attributable disease burden and cost-effectiveness of targeted public health interventions: a systematic review of mathematical models
Bardach, A., Alcaraz, A. O., Ciapponi, A., Garay, O. U., Pichón-Rivière, A., Palacios, A., Cremonte, M., & Augustovski, F. (2019) · BMC Public Health · doi:10.1186/s12889-019-7771-4 · Cited by 33 · see citing works
Are Brief Alcohol Interventions Adequately Embedded in UK Primary Care? A Qualitative Study Utilising Normalisation Process Theory
O'Donnell, A. J., & Kaner, E. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14040350 · Cited by 31 · see citing works
Clinicians’ perspectives and perceived barriers to caring for patients with alcohol use disorder and cirrhosis
Johnson, E., Ghosh, S. M., Daniels, V. J., Wild, T. C., Tandon, P., & Hyde, A. M. (2022) · Addiction Science & Clinical Practice · doi:10.1186/s13722-022-00292-8 · Cited by 33 · see citing works
Economic evaluations of alcohol prevention interventions: Is the evidence sufficient? A review of methodological challenges
Hill, S., Vale, L. D., Hunter, D. J., Henderson, E. J., & Oluboyede, Y. (2017) · Health Policy · doi:10.1016/j.healthpol.2017.10.003 · Cited by 29 · see citing works
Strategies to improve the implementation of preventive care in primary care: a systematic review and meta-analysis
Heath, L., Stevens, R., Nicholson, B. D., Wherton, J. P., Gao, M., Callan, C., Haasova, S., & Aveyard, P. N. (2024) · BMC Medicine · doi:10.1186/s12916-024-03588-5 · Cited by 35 · see citing works
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Yip, B. H. K., Chung, R. Y., Chung, V. C., Kim, J., Chan, I. W. T., Wong, M. C. S., Wong, S. Y. S., & Griffiths, S. M. (2015) · PLoS ONE · doi:10.1371/journal.pone.0117721 · Cited by 29 · see citing works
Effect of financial incentives on delivery of alcohol screening and brief intervention (ASBI) in primary care: longitudinal study
Hamilton, F. L., Laverty, A. A., Gluvajić, D., Huckvale, K., Car, J., Majeed, A., & Millett, C. J. (2013) · Journal of Public Health · doi:10.1093/pubmed/fdt121 · Cited by 24 · see citing works
A systematic review of economic evaluations of public health interventions targeting alcohol, tobacco, illicit drug use and problematic gambling: Using a case study to assess transferability
Nystrand, C., Gebreslassie, M., Ssegonja, R., Feldman, I., & Sampaio, F. (2020) · Health Policy · doi:10.1016/j.healthpol.2020.09.002 · Cited by 21 · see citing works
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Self-citation
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Aguirre, M., Greenberg, N. L., Sharpley, J. G., Simpson, R. G., & Wall, C. (2013) · Journal of the Royal Army Medical Corps · doi:10.1136/jramc-2013-000059 · Cited by 17 · see citing works
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Rosário, F., Santos, M. I., Angus, K., Pas, L., & Fitzgerald, N. (2018) · Acta Médica Portuguesa · doi:10.20344/amp.9753 · Cited by 16 · see citing works
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Interventions to prevent alcohol use: systematic review of economic evaluations
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Barbosa, C., Bray, J. W., Dowd, W. N., Barnosky, A., & Wittenberg, E. (2020) · Addiction · doi:10.1111/add.15224 · Cited by 17 · see citing works
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Conversations about alcohol in healthcare – cross-sectional surveys in the Netherlands and Sweden
Abidi, L., Nilsen, P., Karlsson, N. E., Skagerström, J., & O'Donnell, A. J. (2020) · BMC Public Health · doi:10.1186/s12889-020-8367-8 · Cited by 18 · see citing works
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Zur, R. M., & Zaric, G. S. (2015) · Addiction · doi:10.1111/add.13201 · Cited by 14 · see citing works
Pharmacy-based alcohol-misuse services: current perspectives
Hattingh, L., & Tait, R. J. (2018) · Integrated Pharmacy Research and Practice · doi:10.2147/iprp.s140431 · Cited by 14 · see citing works
Cost-effectiveness of strategies to improve delivery of brief interventions for heavy drinking in primary care: results from the ODHIN trial
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Self-citation
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Self-citation
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Self-citation
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Self-citation
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Simulation of Alcohol Control Policies for Health Equity (SIMAH) Project: Study Design and First Results
Probst, C., Buckley, C. M., Lasserre, A. M., Kerr, W. C., Mulia, N., Puka, K., Purshouse, R. C., Ye, Y., & Rehm, J. T. (2023) · American Journal of Epidemiology · doi:10.1093/aje/kwad018 · Cited by 7 · see citing works
Self-citation
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Assessing the impacts of alcohol policies
Cecchini, M., Devaux, M., & Sassi, F. (2015) · OECD health working papers · doi:10.1787/5js1qwkvx36d-en · Cited by 7 · see citing works
A Brief Parent Training Program Using Cognitive-Behavioral Techniques for Pediatric Avoidant/Restrictive Food Intake Disorder: A Pilot Study
Breiner, C. E., Miller, M. L., & Hormes, J. M. (2024) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2024.04.004 · Cited by 5 · see citing works
DIgital Alcohol Management ON Demand (DIAMOND) feasibility randomised controlled trial of a web-based intervention to reduce alcohol consumption in people with hazardous and harmful use versus a face-to-face intervention: protocol
Hamilton, F. L., Hornby, J., Sheringham, J., Kerry, S., Linke, S., Solmi, F., Ashton, C., Moore, K. P., & Murray, E. (2015) · Pilot and Feasibility Studies · doi:10.1186/s40814-015-0023-1 · Cited by 5 · see citing works
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Pennington, B., Collins, B., Leigh, S., Martin, A. P., Owen, L., Fischer, A., Sumnall, H. R., & Bates, G. (2018) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2018.03.028 · Cited by 5 · see citing works
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ORIGINAL ARTICLE The Impact of Brief Alcohol Interventions in Primary Healthcare: A Systematic Review of Reviews
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Martinic, M., & Sheveland, A. (2016) · Springer eBooks · doi:10.1007/978-3-319-47233-1_16
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Rosário, F., Santos, M. I., Angus, K., Pas, L., Ribeiro, C., & Fitzgerald, N. (2021) · Figshare · doi:10.6084/m9.figshare.13545362

ORIGINAL ARTICLE Modelling the Cost-Effectiveness of Alcohol Screening and Brief Interventions in Primary Care in England
Purshouse, R. C., Brennan, A., Rafia, R., Latimer, N. R., Archer, R. J., Angus, C., Preston, L. R., & Meier, P. S. (2016)
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Struzzo, P., Angus, C., Scafato, E., Ghirini, S., Torbica, A., Ferré, F., Scafuri, F., Purshouse, R. C., & Brennan, A. (2014) · Politiche Sanitarie
Self-citation

Authors: Purshouse, R. C., Brennan, A., Rafia, R., Latimer, N. R., Archer, R. J., Angus, C. R., Preston, L. R., & Meier, P. S.
Affiliations: University of Sheffield (GB)
Corresponding author: Purshouse, Robin C.
ORCID: Purshouse, Robin C.
Brennan, Alan
Rafia, Rachid
Latimer, Nicholas R.
Archer, Rachel J.
Angus, Colin R.
Preston, Louise R.
Meier, Petra S.
Venue: Alcohol and Alcoholism
Publisher: Oxford University Press (OUP)
Published: 2012-09-25
Volume: 48
Issue: 2
Pages: 180-188
ISSN: 0735-0414 (ISSN-L)
1464-3502
DOI: 10.1093/alcalc/ags103
OpenAlex: W2167109856
Cited by: 83
References: 21
Citations by year: 2026: 1 · 2025: 3 · 2024: 7 · 2023: 3 · 2022: 5 · 2021: 9 · 2020: 6 · 2019: 4 · 2018: 5 · 2017: 7 · 2016: 11 · 2015: 9 · 2014: 5 · 2013: 8
FWCI: 5.25
Type: journal article
Language: en
Open access: closed
Locations: Alcohol and Alcoholism (publishedVersion)
PubMed (publishedVersion)
ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords: alcohol screening, brief intervention, cost-effectiveness, primary care, alcohol consumption, quality-adjusted life years, practice nurses, general practitioners, England
MeSH terms: Adolescent, Adult, Aged, Alcohol Drinking, Alcoholism, Cost-Benefit Analysis, England, Female, Humans, Male, Mass Screening, Middle Aged, Primary Health Care, Models, Economic, Young Adult, Early Medical Intervention

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Modelling the Cost-Effectiveness of Alcohol Screening and Brief Interventions in Primary Care in England

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