基于社区的心理健康预防计划规划和实施的微成本方法:它的成本是多少?
Sharmily Roy1,2, Henry Shelton Brown3, Lisa Sanger Blinn4
1School of Public Health, University of Texas Health Science Center, Houston, 1200 Pressler St, Houston, TX, 77030, USA. sharmily.roy@gmail.com.
Health economics review
|May 21, 2024
概括
规划社区心理健康计划,如健康的思想健康的社区需要大量的前期投资,主要是人力资本. 合作伙伴关系可以帮助抵消这些成本,为有效的预防和促进举措提供帮助.
科学领域:
- 社区心理健康 社区心理健康
- 公共卫生干预措施 公共卫生干预措施
- 医疗服务研究 医疗服务研究
背景情况:
- 基于社区的心理健康计划需要繁重的成本估计.
- 健康的思想健康的社区 (HMHC) 是一个新的倡议,采用社区启动护理 (CIC) 模式.
- HMHC的目标是建立社区的性和心理健康支持,特别是对于COVID-19受影响的人口.
研究的目的:
- 以后续记录HMHC规划和实施的第一年成本.
- 在不同社区分享多层次,多干预方案的成本计算方法.
- 为估计心理健康促进和预防计划的成本提供一个例子.
主要方法:
- 在第一年通过与关键员工的半结构面试收集成本数据.
- 每项活动的计算成本,按项目类别分组,并确定成本驱动因素.
- 通过文献审查和进行的敏感性分析验证了估计.
主要成果:
- HMHC开发和实施的第一年成本为1,382,669美元 (2022美元).
- 主要的成本领域包括项目管理 (135,822美元),社区参与 (364,216美元) 和设计/执行 (756,934美元).
- 关键的成本驱动因素是员工招聘/安装,社区会议,通信和干预交付.
结论:
- 参与性社区精神健康计划需要大量的预先投资,特别是人力资本.
- 发展战略伙伴关系对于减轻项目成本至关重要.
- 这项研究为类似举措提供了一个成本估计框架.
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