基于医院的暴力干预计划:成本和关键组件的分析
Megan J O'Toole1, Kathryn Schnippel, Bruce Larson
1From the Everytown for Gun Safety Support Fund, Department of Research (M.J.O'.T., K.S.), New York, New York; and School of Public Health, Boston University, Department of Global Health (B.L.), Boston, Massachusetts.
The journal of trauma and acute care surgery
|March 24, 2025
概括
基于医院的暴力干预计划 (HVIPs) 每年每名参与者成本低于10,800美元. 这些计划是一个具有成本效益的策略,可以减少枪支暴力,重犯和伤害.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 创伤外科 手术 创伤外科
背景情况:
- 枪支袭击每年造成大量死亡和受伤,导致大量的人力和财务负担.
- 枪支暴力幸存者面临着多方面的长期挑战,包括身体,精神,经济和安全问题.
- 基于医院的暴力干预计划 (HVIP) 为幸存者提供床边支持和包裹服务,有望减少重伤和报复.
研究的目的:
- 对HVIP实施的前三年进行成本分析.
- 为研究人员和项目实施者提供有关HVIP所需的预算和资源的信息.
- 为了解HVIP所需的金融投资提供一个框架.
主要方法:
- 使用了基于成分的成本计算方法.
- 基准病例假设应用于一个中型城市急诊室的医院连接的HVIP.
- 该计划旨在为每年100名参与者提供服务.
主要成果:
- 基准案例HVIP的估计年度成本为110万美元,或每位参与者约为10,800美元.
- 员工占HVIP预算的最大部分,其次是运营,危机支持和运输.
- 预付费用是最小的,在最初的三年里,年度支出保持稳定.
结论:
- 对于非致命的枪支攻击伤害,HVIP注册比年度医疗费用更具成本效益.
- 这项研究支持未来的成本效益分析,并鼓励HVIP的更广泛采用.
- 对于受枪支暴力影响的社区来说,HVIP是一个至关重要的,可能节省成本的干预措施.
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