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Table 4 Model results for alternative implementation scenarios, ordered by incremental net benefit

From: Cost-effectiveness of a programme of screening and brief interventions for alcohol in primary care in Italy

 

Setting

Screening tool and threshold (M/F)

Delivery costs (€m)

INHS savings (€m)

Net cost to INHS (€m)

QALY gains ('000 s)

Incremental net benefit versus do-nothing (€m)*

A

Registration

FAST 3 & AUDIT 8

254

299

-45

57

1378

B

Registration

FAST 3

259

297

-39

57

1381

C

Registration

AUDIT 8

284

321

-38

62

1520

D

Registration

AUDIT 8/6

316

321

-5

62

1555

E

Registration

AUDIT-C 5/4 & AUDIT 8

356

338

17

67

1680

Next registration (baseline)

Registration

AUDIT-C 5/4

411

370

41

75

1921

F

Consultation

FAST 3 & AUDIT 8

419

503

-84

111

2684

G

Consultation

FAST 3

422

505

-84

111

2694

H

Consultation

AUDIT 8

470

500

-30

121

3000

I

Consultation

AUDIT 8/6

529

544

-15

122

3030

J

Consultation

AUDIT-C 5/4 & AUDIT 8

595

519

76

127

3258

Next consultation (baseline)

Consultation

AUDIT-C 5/4

687

605

82

139

3562

  1. *Assuming a willingness-to-pay of €25000/QALY.