过境和处理:调整系统以解决康涅狄格州的物质使用问题
Jeffrey P Cohen1, Steven Huleatt2, Shane Murphy1
1School of Business, University of Connecticut, Storrs, Connecticut, USA.
Health services research
|December 21, 2023
概括
新的过境通道改善了物质使用障碍治疗提供者的成本效益. 靠近运输线路可以降低每个客户的运营成本,并提供多种服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 药物使用障碍 (SUD) 治疗提供者面临运营成本压力.
- 规模和范围的经济是提供商效率的关键指标.
- 公共基础设施 (如交通) 对医疗保健提供者的效率的影响还没有得到充分研究.
研究的目的:
- 调查是否靠近新的公共交通线路可以提高SUD治疗提供商的成本效益.
- 测试有关规模和范围经济的假设,与运输可访问性相关.
主要方法:
- 使用了一种准实验性的多变量回归分析.
- 数据包括提供商的运营成本,客户数量,服务类型和2013-2018年康涅狄格州的位置数据.
- 2015年快速运输线附近的提供商与更远的提供商进行了比较.
主要成果:
- 距离新运输站1英里以内的供应商表现出更好的成本效益.
- 客户增加10%导致每位客户运营成本下降0.12%.
- 提供多种服务导致这些提供商的运营成本减少6.3%.
结论:
- 靠近新的运输线路与SUD和心理健康治疗提供商的显著运营成本节省有关.
- 交通运输发展与医疗保健服务提供之间的协调可以产生相互利益.
- 这表明综合规划的潜力,以优化公共交通运输的使用和医疗保健的可访问性和可负担性.
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