A decision analytic model to investigate the cost-effectiveness of poisoning prevention practices in households with young children
Abstract Background Systematic reviews and a network meta-analysis show home safety education with or without the provision of safety equipment is effective in promoting poison prevention behaviours in households with children. This paper compares the cost-effectiveness of home safety interventions...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2016-08-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-016-3334-0 |
| _version_ | 1818586453725151232 |
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| author | Felix Achana Alex J. Sutton Denise Kendrick Mike Hayes David R. Jones Stephanie J. Hubbard Nicola J. Cooper |
| author_facet | Felix Achana Alex J. Sutton Denise Kendrick Mike Hayes David R. Jones Stephanie J. Hubbard Nicola J. Cooper |
| author_sort | Felix Achana |
| collection | DOAJ |
| description | Abstract Background Systematic reviews and a network meta-analysis show home safety education with or without the provision of safety equipment is effective in promoting poison prevention behaviours in households with children. This paper compares the cost-effectiveness of home safety interventions to promote poison prevention practices. Methods A probabilistic decision-analytic model simulates healthcare costs and benefits for a hypothetical cohort of under 5 year olds. The model compares the cost-effectiveness of home safety education, home safety inspections, provision of free or low cost safety equipment and fitting of equipment. Analyses are conducted from a UK National Health Service and Personal Social Services perspective and expressed in 2012 prices. Results Education without safety inspection, provision or fitting of equipment was the most cost-effective strategy for promoting safe storage of medicines with an incremental cost-effectiveness ratio of £2888 (95 % credible interval (CrI) £1990–£5774) per poison case avoided or £41,330 (95%CrI £20,007–£91,534) per QALY gained compared with usual care. Compared to usual care, home safety interventions were not cost-effective in promoting safe storage of other household products. Conclusion Education offers better value for money than more intensive but expensive strategies for preventing medicinal poisonings, but is only likely to be cost-effective at £30,000 per QALY gained for families in disadvantaged areas and for those with more than one child. There was considerable uncertainty in cost-effectiveness estimates due to paucity of evidence on model parameters. Policy makers should consider both costs and effectiveness of competing interventions to ensure efficient use of resources. |
| first_indexed | 2024-12-16T08:53:13Z |
| format | Article |
| id | doaj.art-30b2d16973544643b3787493ef144783 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-16T08:53:13Z |
| publishDate | 2016-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-30b2d16973544643b3787493ef1447832022-12-21T22:37:21ZengBMCBMC Public Health1471-24582016-08-0116111710.1186/s12889-016-3334-0A decision analytic model to investigate the cost-effectiveness of poisoning prevention practices in households with young childrenFelix Achana0Alex J. Sutton1Denise Kendrick2Mike Hayes3David R. Jones4Stephanie J. Hubbard5Nicola J. Cooper6Clinical Trials Unit, Warwick Medical School, University of WarwickDepartment of Health Sciences, University of LeicesterDivision of Primary Care, University of NottinghamChild Accident Prevention TrustDepartment of Health Sciences, University of LeicesterDepartment of Health Sciences, University of LeicesterDepartment of Health Sciences, University of LeicesterAbstract Background Systematic reviews and a network meta-analysis show home safety education with or without the provision of safety equipment is effective in promoting poison prevention behaviours in households with children. This paper compares the cost-effectiveness of home safety interventions to promote poison prevention practices. Methods A probabilistic decision-analytic model simulates healthcare costs and benefits for a hypothetical cohort of under 5 year olds. The model compares the cost-effectiveness of home safety education, home safety inspections, provision of free or low cost safety equipment and fitting of equipment. Analyses are conducted from a UK National Health Service and Personal Social Services perspective and expressed in 2012 prices. Results Education without safety inspection, provision or fitting of equipment was the most cost-effective strategy for promoting safe storage of medicines with an incremental cost-effectiveness ratio of £2888 (95 % credible interval (CrI) £1990–£5774) per poison case avoided or £41,330 (95%CrI £20,007–£91,534) per QALY gained compared with usual care. Compared to usual care, home safety interventions were not cost-effective in promoting safe storage of other household products. Conclusion Education offers better value for money than more intensive but expensive strategies for preventing medicinal poisonings, but is only likely to be cost-effective at £30,000 per QALY gained for families in disadvantaged areas and for those with more than one child. There was considerable uncertainty in cost-effectiveness estimates due to paucity of evidence on model parameters. Policy makers should consider both costs and effectiveness of competing interventions to ensure efficient use of resources.http://link.springer.com/article/10.1186/s12889-016-3334-0Economic evaluationPublic healthInjury preventionPoisoningsChildrenDecision models |
| spellingShingle | Felix Achana Alex J. Sutton Denise Kendrick Mike Hayes David R. Jones Stephanie J. Hubbard Nicola J. Cooper A decision analytic model to investigate the cost-effectiveness of poisoning prevention practices in households with young children BMC Public Health Economic evaluation Public health Injury prevention Poisonings Children Decision models |
| title | A decision analytic model to investigate the cost-effectiveness of poisoning prevention practices in households with young children |
| title_full | A decision analytic model to investigate the cost-effectiveness of poisoning prevention practices in households with young children |
| title_fullStr | A decision analytic model to investigate the cost-effectiveness of poisoning prevention practices in households with young children |
| title_full_unstemmed | A decision analytic model to investigate the cost-effectiveness of poisoning prevention practices in households with young children |
| title_short | A decision analytic model to investigate the cost-effectiveness of poisoning prevention practices in households with young children |
| title_sort | decision analytic model to investigate the cost effectiveness of poisoning prevention practices in households with young children |
| topic | Economic evaluation Public health Injury prevention Poisonings Children Decision models |
| url | http://link.springer.com/article/10.1186/s12889-016-3334-0 |
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