实施多站点便利化干预措施的成本,以增加对阿片类药物使用障碍药物治疗的准入
Carla C Garcia1, Mark Bounthavong2,3, Adam J Gordon4,5
1Health Economics Resource Center, VA Palo Alto Health Care System, Palo Alto, CA, USA.
实施外部促进阿片类药物使用障碍 (MOUD) 药物治疗的费用约为每名患者48美元. 成本因场地因素和参与者的工资而异,主要是由规划和实施期间的劳动力开支驱动的.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 美国面临着一种阿片类药物流行,每年有超过75,000人死亡.
- 对阿片类药物使用障碍 (MOUD) 的药物是有效的,但未得到充分利用.
- 阻碍MOUD采用的障碍需要实施战略,如外部促进.
研究的目的:
- 测量对MOUD实施外部促进的直接成本.
- 为计划MOUD计划的决策者提供成本估计.
主要方法:
- 预实施和实施阶段的成本分析.
- 外部促进团队和本地站点的分类劳动力成本.
- 使用劳工和统计局 (BLS) 和退伍军人卫生管理局 (VHA) 数据进行敏感性分析.
主要成果:
- 每个地点的平均总成本为18,847美元 (范围为11,320美元至31,592美元),每位患有阿片类药物使用障碍 (OUD) 的患者约为48美元.
- 较高的成本与更多的遭遇和较高的参与者工资相关,由劳动力驱动.
- 预实施成本平均为1031美元,而实施成本平均为每站点17816美元.
结论:
- 对MOUD的外部促进在付款人预算内可能是负担得起的.
- 实施成本因时间,参与者数量和类型而异.
- 优化利益相关者参与对于高效的实施规划至关重要.
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