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
Nicola J. Cooper
Alex J. Sutton
DENISE KENDRICK firstname.lastname@example.org
Professor of Primary Care Research
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.
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.
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.
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.
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, 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|
|Peer Reviewed||Peer Reviewed|
|Keywords||Cost-effectiveness analysis; Smoke alarms; Decision model; Fire-related injuries; Child home injuries|
|Related Public URLs||https://creativecommons.org/licenses/by/2.0|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0|
Saramago BMC Public Health 2014.pdf
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0
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