Pedro Saramago
Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study
Saramago, Pedro; Cooper, Nicola J.; Sutton, Alex J.; Hayes, Mike; Dunn, Ken; Manca, Andrea; Kendrick, Denise
Authors
Nicola J. Cooper
Alex J. Sutton
Mike Hayes
Ken Dunn
Andrea Manca
DENISE KENDRICK DENISE.KENDRICK@NOTTINGHAM.AC.UK
Professor of Primary Care Research
Abstract
Background
The UK has one of the highest rates for deaths from fire and flames in children aged 0-14 years compared to other high income countries. Evidence shows that smoke alarms can reduce the risk of fire-related injury but little exists on their cost-effectiveness. We aimed to compare the cost effectiveness of different interventions for the uptake of 'functioning' smoke alarms and consequently for the prevention of fire-related injuries in children in the UK.
Methods
We carried out a decision model-based probabilistic cost-effectiveness analysis. We used a hypothetical population of newborns and evaluated the impact of living in a household with or without a functioning smoke alarm during the first 5 years of their life on overall lifetime costs and quality of life from a public health perspective. We compared seven interventions, ranging from usual care to more complex interventions comprising of education, free/low cost equipment giveaway, equipment fitting and/or home safety inspection.
Results
Education and free/low cost equipment was the most cost-effective intervention with an estimated incremental cost-effectiveness ratio of [pound sign]34,200 per QALY gained compared to usual care. This was reduced to approximately £4,500 per QALY gained when 1.8 children under the age of 5 were assumed per household.
Conclusions
Assessing cost-effectiveness, as well as effectiveness, is important in a public sector system operating under a fixed budget restraint. As highlighted in this study, the more effective interventions (in this case the more complex interventions) may not necessarily be the ones considered the most cost-effective.
Citation
Saramago, P., Cooper, N. J., Sutton, A. J., Hayes, M., Dunn, K., Manca, A., & Kendrick, D. (2014). Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study. BMC Public Health, 14, Article 459. https://doi.org/10.1186/1471-2458-14-459
Journal Article Type | Article |
---|---|
Acceptance Date | Apr 24, 2014 |
Publication Date | May 16, 2014 |
Deposit Date | May 26, 2016 |
Publicly Available Date | May 26, 2016 |
Journal | BMC Public Health |
Electronic ISSN | 1471-2458 |
Publisher | Springer Verlag |
Peer Reviewed | Peer Reviewed |
Volume | 14 |
Article Number | 459 |
DOI | https://doi.org/10.1186/1471-2458-14-459 |
Keywords | Cost-effectiveness analysis; Smoke alarms; Decision model; Fire-related injuries; Child home injuries |
Public URL | https://nottingham-repository.worktribe.com/output/728524 |
Publisher URL | http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-459 |
Related Public URLs | https://creativecommons.org/licenses/by/2.0 |
Contract Date | May 26, 2016 |
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0
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