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Improving alcohol management in primary health care in Mexico: a return-on-investment analysis

dc.creatorSolovei, Adrianaes_ES
dc.creatorRovira, Poles_ES
dc.creatorAnderson, Peteres_ES
dc.creatorJané-Llopis, Evaes_ES
dc.creatorNatera Rey, Guillerminaes_ES
dc.creatorArroyo, Miriames_ES
dc.creatorMedina, Perlaes_ES
dc.creatorMercken, Liesbethes_ES
dc.creatorRehm, Jürgenes_ES
dc.creatorVries, Hein dees_ES
dc.creatorManthey, Jakobes_ES
dc.date2023
dc.date.accessioned2025-03-11T20:13:54Z
dc.date.available2025-03-11T20:13:54Z
dc.date.issued2023
dc.identifierJC25DIEP23es_ES
dc.identifier.issn0959-5236
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8241
dc.identifier.urihttps://doi.org/10.1111/dar.13598
dc.descriptionIntroduction Alcohol screening, brief advice and referral to treatment (SBIRT) in primary health care is an effective strategy to decrease alcohol consumption at population level. However, there is relatively scarce evidence regarding its economic returns in non-high-income countries. The current paper aims to estimate the return-on-investment of implementing a SBIRT program in Mexican primary health-care settings. Methods Empirical data was collected in a quasi-experimental study, from 17 primary health-care centres in Mexico City regarding alcohol screening delivered by 145 health-care providers. This data was combined with data from a simulation study for a period of 10 years (2008 to 2017). Economic investments were calculated from a public sector health-care perspective as clinical consultation costs (salary and material costs) and program costs (set-up, adaptation, implementation strategies). Economic return was calculated as monetary gains in the public sector health-care, estimated via simulated reductions in alcohol consumption, dependent on population coverage of alcohol interventions delivered to primary health-care patients. Results Results showed that scaling up a SBIRT program in Mexico over a 10-year period would lead to positive return-on-investment values ranging between 21% in scenario 4 (confidence interval −8.6%, 79.5%) and 110% in scenario 5 (confidence interval 51.5%, 239.8%). Moreover, over the 10-year period, up to 16,000 alcohol-related deaths could be avoided as a result of implementing the program. Discussion and Conclusions SBIRT implemented at national level in Mexico may lead to substantial financial gains from a public sector health-care perspective.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherWiley-Blackwelles_ES
dc.relation42(3):680-690
dc.rightsAcceso Cerradoes_ES
dc.titleImproving alcohol management in primary health care in Mexico: a return-on-investment analysises_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Health Promotion, CAPHRI Care andPublic Health Research Institute, Maastricht University,Maastricht, The Netherlands
dc.contributor.emaila.solovei@uva.nl (Adriana Solovei)
dc.relation.jnabreviadoDRUG ALCOHOL REV
dc.relation.journalDrug and Alcohol Review
dc.identifier.placeAustralia
dc.date.published2023
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1465-3362
dc.identifier.doi10.1111/dar.13598
dc.subject.kwAlcohol
dc.subject.kwMexico
dc.subject.kwPrimary health care
dc.subject.kwReturn-on-investment
dc.subject.kwSBIRT


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