1. Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers.
- Author
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Salloum, Ramzi G, Salloum, Ramzi G, D'Angelo, Heather, Theis, Ryan P, Rolland, Betsy, Hohl, Sarah, Pauk, Danielle, LeLaurin, Jennifer H, Asvat, Yasmin, Chen, Li-Shiun, Day, Andrew T, Goldstein, Adam O, Hitsman, Brian, Hudson, Deborah, King, Andrea C, Lam, Cho Y, Lenhoff, Katie, Levinson, Arnold H, Prochaska, Judith, Smieliauskas, Fabrice, Taylor, Kathryn, Thomas, Janet, Tindle, Hilary, Tong, Elisa, White, Justin S, Vogel, W Bruce, Warren, Graham W, Fiore, Michael, Salloum, Ramzi G, Salloum, Ramzi G, D'Angelo, Heather, Theis, Ryan P, Rolland, Betsy, Hohl, Sarah, Pauk, Danielle, LeLaurin, Jennifer H, Asvat, Yasmin, Chen, Li-Shiun, Day, Andrew T, Goldstein, Adam O, Hitsman, Brian, Hudson, Deborah, King, Andrea C, Lam, Cho Y, Lenhoff, Katie, Levinson, Arnold H, Prochaska, Judith, Smieliauskas, Fabrice, Taylor, Kathryn, Thomas, Janet, Tindle, Hilary, Tong, Elisa, White, Justin S, Vogel, W Bruce, Warren, Graham W, and Fiore, Michael
- Abstract
BackgroundThe Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications.MethodsWe used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs.ResultsMedian total monthly operating costs across funded centers were $11,045 (range: $5129-$20,751). The largest median operating cost category was personnel ($10,307; range: $4122-$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17-$573), materials ($6-$435), training ($96-$516), technology ($171-$2759), and equipment ($10-$620). Median cost-per-participant was $466 (range: $70-$2093) and cost-per-quit was $2688 (range: $330-$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided conte
- Published
- 2021