Políticas de saúde para reduzir o consumo perigoso de álcool na Ucrânia
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O artigo estima os custos, os efeitos e a rela��o custo-efic�cia das pol�ticas de sa�de destinadas a reduzir o peso do consumo perigoso de �lcool na Ucr�nia. Foram utilizados o quadro metodol�gico e as ferramentas de contextualiza��o do WHO-CHOICE para avaliar cinco interven��es implementadas individualmente e em combina��o. Os custos foram expressos em d�lares americanos descontados, enquanto os efeitos foram medidos em anos de vida ajustados pela incapacidade (DALYs) poupados, ponderados pela idade e descontados. A interven��o mais custo-efetiva a implementar consiste em aumentar o n�vel atual de tributa��o em 50% (29 USD por DALY evitado). A segunda op��o mais eficiente seria a introdu��o de uma proibi��o abrangente da publicidade (69 USD por DALY adicional evitado), seguida da introdu��o de aconselhamento breve nos cuidados de sa�de prim�rios e da redu��o do acesso aos pontos de venda (391 USD por DALY adicional evitado). A adi��o de testes de alcoolemia na estrada seria a �ltima op��o mais eficiente (3279 USD por DALY adicional evitado). Em conclus�o, a contextualiza��o do WHO-CHOICE com base em dados dispon�veis localmente fornece aos decisores de pol�ticas de sa�de evid�ncias econ�micas valiosas para o debate pol�tico sobre a sele��o e prioriza��o de interven��es de sa�de.
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