在HEALing社区研究中实施社区级阿片类药物过量减少干预措施的创业活动成本
Iván D Montoya1, Colleen Watson2, Arnie Aldridge2
1Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Addiction science & clinical practice
|April 2, 2024
概括
治愈社区 (CTH) 的干预
科学领域:
- 公共卫生干预措施 公共卫生干预措施
- 卫生经济学 卫生经济学
- 社区参与战略 社区参与战略
背景情况:
- 治愈社区 (CTH) 干预是一个新的,数据驱动的方法,以减少阿片类药物过量死亡.
- 实施像CTH这样复杂的公共卫生计划需要大量的前期投资 (启动成本).
- 启动成本经常被排除在成本效益分析之外,阻碍了投资决策.
研究的目的:
- 对与CTH干预相关的干预前启动成本进行详细分析.
- 为利益相关者提供有关实施可行性和投资要求的数据.
主要方法:
- 使用基于活动的成本计算方法,反映了真实世界的社区投资.
- 从肯塔基州,马萨诸塞州,纽约州和俄俄州的34个社区收集了数据,使用行政和采访数据.
- 使用宏观和微观成本计算技术确定了成本估计,并以2019美元报告.
主要成果:
- 国家一级的平均创业成本为268,657美元,中位成本为175,683美元.
- 招聘和培训占创业成本平均 (40%) 和中位数 (49%) 的最大比例.
- 创建仪表板和设备/基础设施是重要的成本组成部分.
结论:
- 三种不同的招聘模式 (医院-学术,大学-学术,社区杆) 影响了创业成本.
- 纽约的社区杆模式显示,由于现有基础设施,创业成本较低.
- 利用当地的基础设施和现有关系可能会降低CTH干预启动成本.
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