Table 4.
Model results for alternative implementation scenarios, ordered by incremental net benefit
| Setting | Screening tool and threshold (M/F) | Delivery costs (€m) | INHS savings (€m) | Net cost to INHS (€m) | QALY gains ('000 s) | Incremental net benefit versus do-nothing (€m)* | |
|---|---|---|---|---|---|---|---|
| A |
Registration |
FAST 3 & AUDIT 8 |
254 |
299 |
-45 |
57 |
1378 |
| B |
Registration |
FAST 3 |
259 |
297 |
-39 |
57 |
1381 |
| C |
Registration |
AUDIT 8 |
284 |
321 |
-38 |
62 |
1520 |
| D |
Registration |
AUDIT 8/6 |
316 |
321 |
-5 |
62 |
1555 |
| E |
Registration |
AUDIT-C 5/4 & AUDIT 8 |
356 |
338 |
17 |
67 |
1680 |
| Next registration (baseline) |
Registration |
AUDIT-C 5/4 |
411 |
370 |
41 |
75 |
1921 |
| F |
Consultation |
FAST 3 & AUDIT 8 |
419 |
503 |
-84 |
111 |
2684 |
| G |
Consultation |
FAST 3 |
422 |
505 |
-84 |
111 |
2694 |
| H |
Consultation |
AUDIT 8 |
470 |
500 |
-30 |
121 |
3000 |
| I |
Consultation |
AUDIT 8/6 |
529 |
544 |
-15 |
122 |
3030 |
| J |
Consultation |
AUDIT-C 5/4 & AUDIT 8 |
595 |
519 |
76 |
127 |
3258 |
| Next consultation (baseline) | Consultation | AUDIT-C 5/4 | 687 | 605 | 82 | 139 | 3562 |
*Assuming a willingness-to-pay of €25000/QALY.