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The Cost-Effectiveness Analysis and Optimal Strategy of the Tobacco Control

机译:控烟的成本效益分析与优化策略

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摘要

This paper aims at investigating how the media coverage and smoking cessation treatment should be implemented, for a certain period, to reduce the numbers of smokers and patients caused by smoking while minimizing the total cost. To this end, we first propose a new mathematical model without any control strategies to investigate the dynamic behaviors of smoking. Furthermore, we calculate the basic reproduction number ℛ0 and discuss the global asymptotic stabilities of the equilibria. Then, from the estimated parameter values, we know that the basic reproduction number ℛ0 is more than 1, which reveals that smoking is one of the enduring problems of the society. Hence, we introduce two control measures (media coverage and smoking cessation treatment) into the model. Finally, in order to investigate their effects in smoking control and provide an analytical method for the strategic decision-makers, we apply a concrete example to calculate the incremental cost-effectiveness ratios and analyze the cost-effectiveness of all possible combinations of the two control measures. The results indicate that the combination of media coverage and smoking cessation treatment is the most cost-effective strategy for tobacco control.
机译:本文旨在研究在一定时期内应如何实施媒体报道和戒烟治疗,以减少吸烟引起的吸烟者和患者人数,同时使总成本降至最低。为此,我们首先提出一种新的数学模型,该模型无需任何控制策略即可研究吸烟的动态行为。此外,我们计算了基本的再现数ℛ0,并讨论了平衡点的全局渐近稳定性。然后,根据估计的参数值,我们知道基本繁殖数ℛ0大于1,这表明吸烟是社会持久的问题之一。因此,我们在模型中引入了两种控制措施(媒体报道和戒烟治疗)。最后,为了调查其在吸烟控制中的作用并为战略决策者提供一种分析方法,我们以一个具体的例子来计算增量成本效益比,并分析这两种控制的所有可能组合的成本效益。措施。结果表明,媒体报道和戒烟相结合是控制烟草最经济的策略。

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