In this article, we examine the health and economic implications of a workplace smoking-cessation program by using a simulation model that includes, among its novel features, consideration of long-term as well as short-term implications and evaluation of the effects of employee turnover on benefits derived by both the firm and the broader community.
As a result of employee turnover, approximately half of the program-generated benefits are realized by the community outside the firm.
Still, smoking cessation is a very sound economic investment for the firm, and is particularly profitable when long-term benefits are included, with an eventual benefit-cost ratio of 8. 75.
Saving life-years at a cost of $894 each, the program is more cost-effective than most of the conventional medical care covered by the firm's insurance.
Nevertheless, the intervention successfully addresses only a fraction of the costs that smoking imposes on the firm.
Mots-clés Pascal : Programme sanitaire, Sevrage toxique, Tabagisme, Lieu travail, Homme, Modèle simulation, Coût social, Analyse coût efficacité, Promotion santé, Prévention, Changement comportement, Economie santé, Santé, Evaluation, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Sanitary program, Poison withdrawal, Tobacco smoking, Work place, Human, Simulation model, Social cost, Cost efficiency analysis, Health promotion, Prevention, Behavior change, Health economy, Health, Evaluation, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0487321
Code Inist : 002B30A01C. Création : 10/04/1997.