实施应急管理的预算影响工具,用于同时发生的酒精使用障碍和严重精神疾病
Thanh T Lu1, Sara C Parent1, Naomi Chaytor1
1Center for Public Health Methods, RTI International, Research Triangle Park, North Carolina (Lu); Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane (Parent, Chaytor, Palmer, McPherson, Jett, McDonell); Institute for Research and Education to Advance Community Health, Washington State University, Seattle (Amiri); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Ries); Department of Population Health Sciences, Weill Cornell Medical College, New York City (Murphy).
应急管理 (CM) 为期望的行为提供激励,例如减少饮酒. 本研究详细介绍了严重精神疾病和严重酒精使用障碍患者的CM干预成本.
科学领域:
- 行为健康干预 行为健康干预
- 卫生经济学 卫生经济学
- 成精神病学成精神病学
背景情况:
- 应急管理 (CM) 是一种基于证据的行为干预,利用激励来促进所需的行为,例如减少物质使用.
- 有效实施CM需要了解其资源需求和财务影响,特别是对于复杂的患者群体.
研究的目的:
- 划分不同应急管理 (CM) 交付模式的资源需求和相关成本.
- 为高风险人群量身定制成本估计,同时出现严重精神疾病和严重酒精使用障碍.
主要方法:
- 进行了微量化分析,包括与进行干预的调查人员进行半结构化采访.
- 从供应商的角度来看,资源利用量化和估值,成本以2021年美元计算.
主要成果:
- 一个CM程序的初始设置成本为每站点6,038美元.
- 估计为期16周的治疗费用为每位参与者1,119美元至1,136美元的普通/塑造性CM和1,848美元至1,865美元的高幅度CM,假设全容量和56%的激励成就.
结论:
- 开发了一个可定制的工具,以根据治疗成功和设计变化估计CM成本.
- 该工具将帮助提供者预算和维持CM计划,并计划在试验后进一步改进.
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