Health benefits and economic advantages associated with increased utilization of a smoking cessation program.
Abstract
Rationale, aim & objective: The goal of this study was to examine the health and economic
impacts related to increased utilization of the Duke Smoking Cessation Program resulting
from the addition of two relatively new referral methods - Best Practice Advisory
and Population Outreach. Materials & methods: In a companion paper 'Comparison of
Referral Methods into a Smoking Cessation Program', we report results from a retrospective,
observational, comparative effectiveness study comparing the impact of three referral
methods - Traditional Referral, Best Practice Advisory and Population Outreach on
utilization of the Duke Smoking Cessation Program. In this paper we take the next
step in this comparative assessment by developing a Markov model to estimate the improvement
in health and economic outcomes when two referral methods - Best Practice Advisory
and Population Outreach - are added to Traditional Referral. Data used in this analysis
were collected from Duke Primary Care and Disadvantaged Care clinics over a 1-year
period (1 October 2017-30 September 2018). Results: The addition of two new referral
methods - Best Practice Advisory and Population Outreach - to Traditional Referral
increased the utilization of the Duke Smoking Cessation Program in Primary Care clinics
from 129 to 329 smokers and in Disadvantaged Care clinics from 206 to 401 smokers.
The addition of these referral methods was estimated to result in 967 life-years gained,
408 discounted quality-adjusted life-years saved and total discounted lifetime direct
healthcare cost savings of US$46,376,285. Conclusion: Health systems may achieve increased
patient health and decreased healthcare costs by adding Best Practice Advisory and
Population Outreach strategies to refer patients to smoking cessation services.
Type
Journal articleSubject
Markov modelcost savings
electronic health record
nicotine
quality-adjusted life-years
referral
smoking cessation
tobacco
Permalink
https://hdl.handle.net/10161/21386Published Version (Please cite this version)
10.2217/cer-2020-0005Publication Info
Datta, Santanu K; Dennis, Paul A; & Davis, James M (2020). Health benefits and economic advantages associated with increased utilization of a
smoking cessation program. Journal of comparative effectiveness research. 10.2217/cer-2020-0005. Retrieved from https://hdl.handle.net/10161/21386.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
James Davis
Associate Professor of Medicine
Dr. James Davis is a practicing physician of Internal Medicine, and serves as the
Medical Director for Duke Center for Smoking Cessation, Director of the Duke Smoking
Cessation Program and Co-Director of the Duke-UNC Tobacco Treatment Specialist Credentialing
Program. His research focuses on development of new pharmaceutical treatments for
smoking cessation. He is principal investigator on several trials including a study
on “adaptive” smoking cessation and several trials
Paul Anthony Dennis
Associate Professor in Population Health Sciences
Developmental psychologist, statistician, and data scientist. Research focused on
cardiovascular risk associated with psychiatric illness and trauma exposure, intraindivdiual
variability in symptoms and affect, and the use of mobile apps and devices for health
and behavior monitoring and interventions. Interest in longitudinal and repeated-measures
analyses, mediation analyses, machine learning, and applications to administrative
healthcare data.
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