Details:

Alternative Title:
Am J Prev Med
Personal Author:
Liu, Ying ; Mack, Karin A. ; Diekman, Shane T.
Liu, Ying ; Mack, Karin A. ; Diekman, Shane T. Less -
Description:
Background

The burden of residential fire injury and death is substantial. Targeted smoke alarm giveaway and installation programs are popular interventions used to reduce residential fire mortality and morbidity.

Purpose

To evaluate the cost effectiveness and cost benefit of implementing a giveaway or installation program in a small hypothetic community with a high risk of fire death and injury through a decision-analysis model.

Methods

Model inputs included program costs; program effectiveness (life-years and quality-adjusted life-years saved); and monetized program benefits (medical cost, productivity, property loss and quality-of-life losses averted) and were identified through structured reviews of existing literature (done in 2011) and supplemented by expert opinion. Future costs and effectiveness were discounted at a rate of 3% per year. All costs were expressed in 2011 U.S. dollars.

Results

Cost-effectiveness analysis (CEA) resulted in anaverage cost-effectiveness ratio (ACER) of $51,404 per quality-adjusted life-years (QALYs) saved and $45,630 per QALY for the giveaway and installation programs, respectively. Cost–benefit analysis (CBA) showed that both programs were associated with a positive net benefit with a benefit–cost ratio of 2.1 and 2.3, respectively. Smoke alarm functional rate, baseline prevalence of functional alarms, and baseline home fire death rate were among the most influential factors for the CEA and CBA results.

Conclusions

Both giveaway and installation programs have an average cost-effectiveness ratio similar to or lower than the median cost-effectiveness ratio reported for other interventionsto reduce fatal injuries in homes. Although more effort is required, installation programs result in lower cost per outcome achieved compared with giveaways.


Subjects:
[+]
Accident Prevention Accidents, Home Article Cost-Benefit Analysis Decision Support Techniques Fires Humans Program Development Protective Devices Quality-Adjusted Life Years United States
Source:
Am J Prev Med. 43(4):385-391
Pubmed ID:
22992356
Pubmed Central ID:
PMC4624218
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:67c45a8ce4d2f16eb4074b87ef4472ab7a4e6c35291c5ca11854c49338d797ae
Download URL:
https://stacks.cdc.gov/view/cdc/36304/cdc_36304_DS1.pdf
File Type:

Supporting Files

• 	NIHMS728760-supplement-Supplement_A-E.pdf	pdf
  	nihms728760.nxml	xml

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