The process of using evidence-based information in decision making in health care was analysed. Literature examples illustrate the principles of rational actions in the health care, barriers to evidencebased information use and possibilities of overcoming them with the use among other social marketing methods. The results of critically appraised systematic reviews and meta-analyses were used to determine the efficacy of methods used m smoking cessation. In economic analysis direct medical costs of smoking-related diseases coming from published data and from National Health Fund were used. Long-term health (life years saved) and economic consequences of smoking cessation were estimated on the basis of specially developed Markov model. The results of incremental cost-effectiveness analysis indicate that brief advice in the treatment of tobacco dependence, compared to no advice, could be the most cost-effective treatment in health care. More intensive non-pharmacological and pharmacological methods could also be beneficial, but as they are more expensive, in people with lower baseline risk the cost of health gain unit could be above accepted cost-effectiveness threshold. Properly conducted efficacy and cost-effectiveness analyses should support rational decision making in health care in Poland; therefore establishing professional and independent institution devoted to dealing ; with these task seems to be very important.
Jul 18, 2022
Nov 21, 2012
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Zatoński,W. Przewoźniak,K. Łobaszewski,J.