The Economic Costs of the Health Effects of Smoking, 1984

Rice, Dorothy P.; Hodgson, Thomas A.; Sinsheimer, Peter; Browner, Warren S.; Kopstein, Andrea N.

doi:10.2307/3349924

Cited by 173 publications

(120 citation statements)

References 33 publications

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“…6 of possible medical interventions increase health care costs and impose an ever greater burden on national and state budgets, thus hindering the effectiveness of cost-containment efforts. 13 Second, the demand for health care, and the equity for resource allocation are greater and more diverse than ever before, especially in middle-income countries. 12, * Further, the burden of smoking-related illness is expected to increase the demand for costly treatment alternatives, which will compete with other demands for scarce resources.…”

Section: Descritores: Tabagismo Epidemiologia Tabagismo Tendênciasmentioning

confidence: 99%

Economic burden of expected epidemiological changes in diseases related to tobacco, Mexico

Arredondo¹,

Carrillo

Zuñiga

2007

Rev. Saúde Pública

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Economic burden of expected epidemiological changes in diseases related to tobacco, MexicoImpacto econômico das mudanças epidemiológicas esperadas nas doenças associadas ao tabaco, México ABSTRACT OBJECTIVE: To determine health care costs and economic burden of epidemiological changes in diseases related to tobacco consumption. METHODS:A time-series analysis in Mexico (1994Mexico ( -2005 was carried out on seven health interventions: chronic obstructive pulmonary diseases, lung cancer with and without surgical intervention, asthma in smokers and nonsmokers, full treatment course with nicotine gum, and full treatment course with nicotine patch. According with Box-Jenkins methodology, probabilistic models were developed to forecast the expected changes in the epidemiologic profi le and the expected changes in health care services required for selected interventions. Health care costs were estimated following the instrumentation methods and validated with consensus technique. RESULTS:A comparison of the economic impact in 2006 vs. 2008 showed 20-90% increase in expected cases depending on the disease (p<0.05), and 25-93% increase in fi nancial requirements (p<0.01). The study data suggest that changes in the demand for health services for patients with respiratory diseases related to tobacco consumption will continue showing an increasing trend. CONCLUSIONS:In economic terms, the growing number of cases expected during the study period indicates a process of internal competition and adds an element of intrinsic competition in the management of preventive and curative interventions. The study results support the assumption that if preventive programs remain unchanged, the increasing demands for curative health care may cause great fi nancial and management challenges to the health care system of middle-income countries like Mexico. 524Economic burden of smoking in Mexico Arredondo A et al. RESUMOOBJETIVO: Avaliar os custos da atenção médica a doenças associadas ao tabagismo e o impacto econômico das mudanças epidemiológicas. México (1994México ( -2005 de sete intervenções médicas em relação a: doença pulmonar obstrutiva crônica, câncer de pulmão com e sem intervenção cirúrgica, asma bronquial em fumantes e não-fumantes, tratamento com adesivos para deixar de fumar, tratamento com goma de mascar. As mudanças epidemiológicas esperadas e as necessidades fi nanceiras para atender a demanda de serviços foram avaliadas pelos modelos probabilísticos de Box-Jenkins. Os custos foram determinados de acordo com método de instrumentação e a técnica de consenso. MÉTODOS: Análise de série temporal no RESULTADOS:A comparação do impacto das mudanças epidemiológicas previstas para 2006 e 2008 mostrou incremento de 20% a 90%, dependendo do tipo de intervenção. O incremento nos custos da atenção médica foi de 25% a 93%. Há indícios que a demanda de serviços de saúde para as intervenções investigadas continuarão aumentando. CONCLUSÕES:Em termos econômicos, o aumento na quantidade de casos esperados refl etem um fenômeno de competição ...

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Section: Descritores: Tabagismo Epidemiologia Tabagismo Tendênciasmentioning

confidence: 99%

Economic burden of expected epidemiological changes in diseases related to tobacco, Mexico

Arredondo¹,

Carrillo

Zuñiga

2007

Rev. Saúde Pública

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“…Several national SAM estimates have been reported, including 270,000 deaths for 1980 (Rice et al 1986) (CDC 1993), an annual average of 430,700 deaths for -1994(CDC 1997, and an annual average of 442,398 deaths for 1995-1999(CDC 2002a. Rice and colleagues (1986) used the PAR calculation to estimate national SAM as well as morbidity and economic costs.…”

Section: Review Of Previous Estimatesmentioning

confidence: 99%

“…Numerous cohort studies provide RR estimates for smoking-related diseases and mortality (Pearl 1938;Hammond and Horn 1954;Kahn 1966;Doll and Peto 1976;Garfinkel 1980a,b;Rice et al 1986; Lew and Garfinkel 1988;USDHHS 1989a;Doll et al 1994;Thun et al 1997a). These studies are extensively described in several publications, including Monograph 8 of the Smoking and Tobacco Control Monograph Series published by the National Cancer Institute (NCI 1997).…”

Section: Key Data Sets Used To Estimate Smoking Attributable Mortalitmentioning

confidence: 99%

The Characteristics of Smoking Cessation Behavior by the Stage of Change in Industrial Workers

Kim¹,

Park²,

Kang³

2010

J Korean Acad Community Health Nurs

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“…Researchers have tried to estimate the economic costs of cigarette smoking by using data from the United States (Rice et al 1986;Manning et al 1989Manning et al , 1991Hodgson 1992;CDC 1994;U.S. House of Representa tives 1994;Miller et al 1998Miller et al , 1999 and elsewhere (see Lightwood et al, in press, for a comprehensive review).…”

Section: Estimates Of the Costs Of Smokingmentioning

confidence: 99%

“…Because of the long lags between smoking initiation and the onset of most smoking-related illnesses, these estimates reflect his torical trends in smoking and thus cannot be used to predict the impact of changes in smoking prevention policies except over long periods. However, this ap proach has been widely used because of its relatively simple methodology and the availability of reliable data (Rice et al 1986). …”

Section: Estimates Of the Costs Of Smokingmentioning

confidence: 99%

Randomized Trial of Reduced-Nicotine Standards for Cigarettes

Goldstein

2016

N Engl J Med

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The Economic Costs of the Health Effects of Smoking, 1984

Cited by 173 publications

References 33 publications

Economic burden of expected epidemiological changes in diseases related to tobacco, Mexico

Economic burden of expected epidemiological changes in diseases related to tobacco, Mexico

The Characteristics of Smoking Cessation Behavior by the Stage of Change in Industrial Workers

Randomized Trial of Reduced-Nicotine Standards for Cigarettes

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