COST-EFFECTIVENESS OF MEDICATION-ASSISTED PROGRAM FOR OPIOID ADDICTS: Using capability adjusted life-years as a measurement tool
2018 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE credits
Student thesis
Abstract [en]
Background: There is an international opioid crisis. From 1999-2016, more than 350,000 people died from an overdose involving an opioid. Drug-related deaths in Sweden have been rising over the last decade. During 2006, the number of drug-related deaths in Sweden was 7.4 per 100,000 people, while in 2016 the number was 11.2 per 100,000 people. Drug rehabilitation interventions in Sweden often take place in the municipality in collaboration with the hospitals. Interventions at municipality levels can aim to improve health, but in many cases, the aim of the intervention is much broader and has a ripple effect on the individual’s life and well-being. A common utility measurement is QALYs, which only capture the health-related quality of life.
Objective: The objective of the study is to calculate the cost-effectiveness of medication-assisted therapy (MAT) from a societal perspective; the cost of the program, the savings made, and the life quality gains in terms of capability-adjusted life-years (CALYs).
Method: A cost-effectiveness analysis is performed of medical-assisted treatment for 30-year-old male opioid addicts in Sweden using a lifetime perspective with CALYs as an outcome measure.
Results: The estimated CALY gain is 25.5 from the MAT intervention and the cost-effective analysis of the MAT program resulted in a negative ICER, showing that the intervention is cost-saving compared to the alternative of doing nothing.
Conclusion: The main finding is that the MAT program is highly cost-effective—the MAT program gives a higher CALY gain and is less costly than the alternative of doing nothing.
Place, publisher, year, edition, pages
2018. , p. 20
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2018:61
Keywords [en]
CALY, cost-effectiveness, health economics, medication-assisted therapy, opioid addicts, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-165586OAI: oai:DiVA.org:umu-165586DiVA, id: diva2:1373415
External cooperation
Sandra Sandgren Norrlands Universitetssjukhus
Educational program
Master's Programme in Public Health
Presentation
2019-05-23, Room A311 Caring Sciences building, Umeå University, Umeå, 13:00 (English)
Supervisors
Examiners
2019-11-272019-11-272024-07-02Bibliographically approved