Cost-effectiveness of a programme of screening and brief interventions for alcohol in primary care in Italy
Open accessAbstract
BACKGROUND: As alcohol-related health problems continue to rise, the attention of policy-makers is increasingly turning to Screening and Brief Intervention (SBI) programmes. The effectiveness of such programmes in primary healthcare is well evidenced, but very few cost-effectiveness analyses have been conducted and none which specifically consider the Italian context. METHODS: The Sheffield Alcohol Policy Model has been used to model the cost-effectiveness of government pricing and public health policies in several countries including England. This study adapts the model using Italian data to evaluate a programme of screening and brief interventions in Italy. Results are reported as Incremental Cost-Effectiveness Ratios (ICERs) of SBI programmes versus a 'do-nothing' scenario. RESULTS: Model results show such programmes to be highly cost-effective, with estimated ICERs of €550/Quality Adjusted Life Year (QALY) gained for a programme of SBI at next GP registration and €590/QALY for SBI at next GP consultation. A range of sensitivity analyses suggest these results are robust under all but the most pessimistic assumptions. CONCLUSIONS: This study provides strong support for the promotion of a policy of screening and brief interventions throughout Italy, although policy makers should be aware of the resource implications of different implementation options.
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A myriad of other high-income country studies have shown that a brief intervention administered specifically in an emergency department setting can reduce harmful alcohol use and its consequences up to 12 months post-injury and decrease the incidence of trauma recidivism.
“A myriad of other high-income country (HIC) studies have shown that a BI administered specifically in an emergency department setting can reduce harmful alcohol use and its consequences up to 12 months post-injury [16–19] and decrease the incidence of trauma recidivism [20].”
Brief interventions have been suggested to be cost-effective in high-income countries.
“They have also been suggested to be cost-effective in high-income countries [106].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [106]
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- Authors
- Angus, C., Scafato, E., Ghirini, S., Torbica, A., Ferre, F., Struzzo, P., Purshouse, R., & Brennan, A.
- Affiliations
- University of Sheffield (GB)
- Istituto Superiore di Sanità (IT)
- Bocconi University (IT)
- Regional Education Centre for the area of primary care (IT)
- Corresponding author
- Angus, Colin
- ORCID
- Venue
- BMC Family Practice
- Published
- 2014-02-06
- Volume
- 15
- Issue
- 1
- Pages
- 26-26
- ISSN
- 1471-2296 (ISSN-L)
- PMC
- PMC3936801
- OpenAlex
- W1982090938
- Cited by
- 46
- References
- 36
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 7 · 2019: 2 · 2018: 2 · 2017: 5 · 2016: 7 · 2015: 2 · 2014: 5
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Family Practice (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- CINECA IRIS Institutional Research Information System (Sant'Anna School of Advanced Studies) (submittedVersion, other-oa)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion)
- Archivio istituzionale della Ricerca - Bocconi (submittedVersion)
- Funders
- European Commission (259268)
- 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
- screening and brief intervention, alcohol consumption, cost-effectiveness, primary care, alcohol-related health problems, quality-adjusted life years, alcohol pricing policy, public health policy, Italy
- MeSH terms
- Adolescent, Adult, Aged, Alcoholism, Cost-Benefit Analysis, Female, Humans, Italy, Male, Mass Screening, Middle Aged, Primary Health Care, Young Adult
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