马萨诸塞州MOUD实施和可持续性的成本分析监狱监狱
Danielle Ryan1, Don Lochana Ekanayake2, Elizabeth Evans3
1Weill Cornell, Weill Cornell Medical College, United States. dar4006@med.cornell.edu.
Health & justice
|February 5, 2025
概括
在监狱中为阿片类药物使用障碍 (MOUD) 实施药物治疗是复杂的. 成本因模型而异,但每人护理费用在实施后是相似的,需要仔细预算.
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
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 马萨诸塞州在2018年在县监狱中强制使用FDA批准的阿片类药物使用障碍 (MOUD) 药物.
- 估计实施和维持基于监狱的MOUD程序的成本仍然不清楚.
- 这项研究旨在确定马萨诸塞州监狱的MOUD模型,资源利用和成本.
研究的目的:
- 为了确定马萨诸塞州监狱中实施的MOUD模型的类型.
- 确定在MOUD程序开发和维持过程中使用的资源.
- 为了估计基于监狱的MOUD程序的相关成本.
主要方法:
- 在6个参与的马萨诸塞州监狱中进行了微软分析.
- 通过现场考察和采访收集了关于资源利用的定量数据.
- 使用预算影响工具来组织资源和估计成本,并进行跨站点比较.
主要成果:
- 确定了三种不同的MOUD模型,在供应商参与和员工角色方面有所不同.
- 实施成本在模型之间和模型内部显示出显著的变化.
- 每人维持成本在各个模型中是相似的,根据成本类型 (时间依赖或可变) 不同.
结论:
- 本研究提供了基于监狱的MOUD程序的详细成本估计.
- 实施和维持MOUD计划需要大量投资,可能需要额外的资金或资源重新分配.
- 调查结果可以为提供MOUD的惩教设施的预算和资源分配提供信息.
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