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Costing substance misuse services

D Coyle1, C Godfrey, G Hardman

  • 1Clinical Epidemiology Unit, Ottawa Civic Hospital, Canada.

Addiction (Abingdon, England)
|August 1, 1997
PubMed
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Understanding the cost of substance misuse services is complex, with significant variations between patients and treatments. Detailed cost data, when combined with outcome measures, can improve patient care.

Area of Science:

  • Health Economics
  • Addiction Services Research
  • Public Health Policy

Background:

  • Substance misuse services require accurate cost data for effective resource allocation.
  • Previous methodologies may not capture the granular detail needed for comprehensive cost analysis.
  • Understanding the economic impact of addiction treatment is crucial for healthcare planning.

Purpose of the Study:

  • To establish a methodology for detailed cost analysis of substance misuse services.
  • To identify and illustrate challenges in accurately costing addiction treatment.
  • To provide a case study demonstrating cost variations in a UK addiction unit.

Main Methods:

  • Utilized one year of data on resources, clinical activity, and patient characteristics.

Related Experiment Videos

  • Combined data to calculate detailed costs per clinical event and per patient.
  • Employed routine recording of staff type and time for each event to enable granular costing.

    • Main Results:

    • Average outpatient treatment event cost was £48, with new assessments at £87.
    • Annual costs varied significantly: £358 for outpatient-only care, £1857 for combined outpatient and inpatient care.
    • Costs were skewed, with 10% of patients accounting for 56% of total annual costs; opiate users were more costly than alcohol users.

    Conclusions:

    • Key challenges include accounting for non-attendance, comprehensive resource use, and high individual cost variations.
    • Cost data is valuable but must be integrated with outcome data for service improvement.
    • Accurate cost-effectiveness analysis requires robust data on both expenditure and treatment efficacy.