在康复社区中心内,通过两种模式提供同行恢复支持服务的成本
Drew D Speer1, Joshua L Bush2, Don Lochana Ekanayake3
1Substance Use Priority Research Area, University of Kentucky, 845 Angliana Avenue, Lexington, KY 40508, USA.
Journal of substance use and addiction treatment
|February 24, 2025
概括
同行恢复支持服务 (PRSS) 对于阿片类药物使用障碍 (OUD) 治疗至关重要. 劳动力驱动标准和扩展计划的成本,扩展服务提供重要的障碍缓解和保留支持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药物滥用 治疗 药物滥用 治疗
- 医疗保健经济学 医疗保健经济学
背景情况:
- 同行恢复支持服务 (PRSS) 对康复中的个人至关重要,特别是那些患有阿片类药物使用障碍 (OUD) 的人.
- 关于通过恢复社区中心 (RCC) 提供PRSS相关的具体成本的研究有限.
- 本研究解决了在肯塔基州的一个RCC确定和量化两个不同的PRSS计划的成本的需要.
研究的目的:
- 确定和分析肯塔基州RCC的希望之声-莱克辛顿 (VOH) 提供的两个PRSS计划的运营成本.
- 为了比较标准RCC服务模式的成本结构与扩展的PRSS计划,专注于药物治疗阿片类药物使用障碍 (MOUD) 的联系和保留.
- 为OUD.个人提供有效的PRSS交付所需的金融投资的数据.
主要方法:
- 评估了两个PRSS模型:VOH RCC标准服务和由联邦拨款资助的扩展PRSS计划.
- 收集了2022年的财务数据,并进行了关键信息员调查,以确定员工的时间分配.
- 使用修改后的药物滥用服务成本分析程序 (SASCAP) 来计算程序成本和估计劳动力支出.
主要成果:
- 标准的RCC计划为721个人提供服务,费用为876,831美元 (2824美元/参与者),在社区支持和管理方面投入了大量资金 (46%).
- 扩展的PRSS计划为1411个人提供服务,成本为2,500,613美元 (5286美元/参与者),主要由劳动力 (超过三分之二) 和对障碍救援服务的大量投资推动.
- 与标准方案相比,扩展方案的行政成本较低 (20%).
结论:
- 劳动力是VOH RCC标准和扩展PRSS计划的主要成本驱动因素.
- 不确定的未来资金影响了标准程序中更高的行政成本.
- 联邦资助的扩大PRSS,包括缓解障碍 (运输,住房),证明有效地连接和保留OUD治疗中的个人.
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