一种混合方法,以合作伙伴为重点的成本和预算影响分析,以部署学校预防的实施策略
Andria B Eisman1, Jacob Whitman2, Lawrence A Palinkas3
1Division of Kinesiology, Health, and Sport Studies, College of Education, Wayne State University, 2153 Faculty/Administration Building, 656 West Kirby Street, Detroit, MI, 48202, USA. aeisman@wayne.edu.
Implementation science communications
|November 10, 2023
概括
实施基于学校的健康干预措施,如密歇根州健康模式,需要了解成本和优先事项. 这项研究发现了大量的教师时间成本和失调,突出了为成功,可持续的课程交付需要更好的成本效益对齐的需要.
科学领域:
- 公共卫生 公共卫生
- 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:
- 了解实施战略的成本和预算影响对于将资源分配给基于证据的干预措施至关重要.
- 这项研究评估了为密歇根健康模式 (一项以学校为基础的预防计划) 部署增强复制有效计划 (REP) 的成本和优先事项.
研究的目的:
- 确定与实施密歇根健康模式相关的成本和优先事项,使用增强的REP战略.
- 从关键利益相关者的角度分析这些成本和优先事项,包括国家机构,区域服务机构,主导组织和学校级实施者.
主要方法:
- 采用混合方法方法,包括基于活动的成本计算和预算影响分析 (BIA).
- 从密歇根州3个县的8所高中的教师那里收集了数据,他们参与了一项试点集群随机试验.
- 采用半结构面试和现场笔记,收集有关成本影响和利益相关者的观点的定性数据.
主要成果:
- 部署增强REP的估计成本为每所学校11,903美元,范围为8263美元至15,201美元.
- 据估计,在四所额外的学校实施每所学校的成本为8659美元.
- 定性调查结果显示,学校和教师优先事项之间存在差异,实施活动往往增加了教师现有的责任.
结论:
- 虽然普遍预防提供了社会投资回报,但利益相关者之间存在成本负担和优先事项的重大失调.
- 在实施战略活动期间,教师承担大量的个人时间成本,代表机会成本.
- 需要更好地调整成本和收益的战略,以提高干预实施的成功和可持续性.
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