在办公室成治疗中减少伤害服务的微成本分析
Austen Markus1, Margaret Shang2, Olivia Studnicki1
1Center for Research on Healthcare, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Drug and alcohol dependence
|December 12, 2025
概括
将减少伤害服务 (HRS) 整合到办公室成治疗 (OBAT) 中是负担得起的,估计预付费用为654.01美元,每年每站点为4384.54美元. 这种整合可以通过减少药物使用和医疗保健利用来帮助打击阿片类药物危机.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 成 药物 药物 药物 药物
背景情况:
- 美国阿片类药物危机因多重物质使用和有限的成治疗机会而加剧,导致住院病例增加.
- 近87%的物质使用障碍 (SUD) 患者没有接受必要的治疗.
- 将减少危害服务 (HRS) 整合到办公室成治疗 (OBAT) 中,可以减轻高风险的药物使用,过量服用和感染.
研究的目的:
- 进行集成HRS到OBAT设置的微成本分析.
- 估计在OBAT诊所分发减少伤害套件的前期和运营成本.
- 从卫生系统的角度评估HRS整合的负担能力.
主要方法:
- 采用了基于原料的回顾性微成本计算方法.
- 从卫生系统的角度分析了成本.
- 在5个月的时间里,从宾夕法尼亚州匹兹堡的三个OBAT诊所收集了数据.
主要成果:
- 总共分发了784个减少伤害套件,其中芬太尼和西拉测试条和伤口护理套件是最常见的.
- 前期总成本为1962.03美元,5个月的运营成本为3个地点的5480.68美元.
- 每个HRS集成站点的估计年度成本为$ 654.01预付费和$ 4384.54的运营费用.
结论:
- 将HRS集成到OBAT设置中的估计成本是负担得起的,与其他医疗用品可比.
- 需要进一步的研究来评估HRS在减少医疗保健利用率和患者发病率方面的成本效益.
- 解决耻辱和报销障碍对于在OBAT中更广泛地采用HRS至关重要.
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