为经历住房不稳定的退伍军人提供临时财政援助的成本效益
Richard E Nelson1,2,3, Alec Chapman1,2, Thomas Byrne3,4,5
1Informatics, Decision-Enhancement and Analytic Sciences Center, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, Utah.
JAMA network open
|November 5, 2024
概括
通过退伍军人家庭支持服务计划 (SSVF) 提供的临时财政援助 (TFA) 是为住房不安全的退伍军人提供成本有效的干预措施. 这种方法以合理的成本改善了健康结果,证明了它对退伍军人支持服务的价值.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生干预措施 公共卫生干预措施
- 退伍军人事务 退伍军人事务
背景情况:
- 美国退伍军人事务部 (VA) 利用退伍军人家庭支持服务 (SSVF) 计划为弱势退伍军人提供临时财政援助 (TFA).
- TFA的主要目标是通过支付与住房相关的费用来预防或解决无家可归问题.
研究的目的:
- 对面临住房不安全的退伍军人,与没有TFA的计划相比,评估SSVF计划与TFA的成本效益.
主要方法:
- 采用马尔科夫模拟模型来比较SSVF入学者的假设队列的成本和住房结果.
- 该模型结合了出版文献和内部VA数据的数据,具有2年的时间视界和概率灵敏度分析.
主要成果:
- 与TFA配合的SSVF计划的成本较高 (35,814美元对32,562美元),但产生的质量调整寿命年数 (QALYs) 较高 (1,541岁对1,398岁).
- 增量成本效益比 (ICER) 为每QALY22,676美元,表明TFA的成本效益在每QALY150,000美元的支付意愿门.
- 在89.7%的快速重新安置和88.0%的无家可归预防模拟中,TFA证明了成本效益.
结论:
- 临时财政援助 (TFA) 是一个具有成本效益的策略,用于解决退伍军人住房不安全问题.
- 这些发现表明,TFA以合理的成本改善了健康益处,支持其在退伍军人支持服务中的使用.
- 未来的研究应该探讨针对特定退伍军人亚群的全国性住房干预措施的成本效益.
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