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A three-part study to advance economic analysis of substance abuse treatment.

机译：研究分为三部分，以推进对药物滥用治疗的经济分析。

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摘要

Understanding the costs and benefits of resources used to provide substance abuse treatment is essential to policymakers, payers, and providers of care. Economic analyses are an important component of research for informing these stakeholders about the relationship between resource use, treatment planning, and client and societal outcomes of substance abuse treatment. Such analyses have ranged from cost analyses of specific treatment interventions to econometric modeling of the relationship between organization, treatment, and client outcomes. The objective of this dissertation is to expand and refine economic analysis of substance abuse treatment in the areas of cost data collection, cost function modeling, and cost-effectiveness analysis of brief intervention. The findings are presented in the three-paper format.; Based on a pilot cost study of nine treatment programs, the first paper examines the ability of substance abuse treatment program staff to respond to two survey instruments designed to ascertain the costs of their programs: the Drug Abuse Treatment Cost Analysis Program (DATCAP) and the Cost Data Audit Instrument (CDAI).; The second paper describes econometric analyses of organizational, client, and cost data collected from outpatient substance abuse treatment programs sampled in Phase II of the Alcohol and Drug Services Study (ADSS). Microeconomic cost theory and cost functions as applied to hospital services serve as the framework for developing a cost function for outpatient substance abuse treatment services using the ADSS data. The two dependent variables are the cost per episode and the cost per enrollment day. Independent variables include organizational variables such as point prevalence, type of ownership, average length of stay, the number of visits per enrollment day, as well as client characteristics such as gender, age, minority status, co-morbidity, and primary drug of choice.; The third paper involves a benefit-cost analysis of a clinical trial of a peer educator brief intervention for cocaine and heroin patients, called Project Link that took place at Boston Medical Center from 1997--2002. The Drug Abuse Treatment Cost Analysis Program (DATCAP) was used to examine institutional and client costs while the generalized estimating equations method was used to examine medical cost-offsets one year post-intervention using an administrative dataset. (Abstract shortened by UMI.)
机译：了解用于提供药物滥用治疗的资源的成本和收益对决策者，付款人和护理提供者至关重要。经济分析是研究的重要组成部分，旨在使这些利益相关者了解药物滥用治疗的资源使用，治疗计划以及客户和社会结果之间的关系。此类分析的范围从特定治疗干预措施的成本分析到组织，治疗和客户结果之间关系的计量经济学建模。本文的目的是在成本数据收集，成本函数建模以及短暂干预的成本效益分析等领域扩展和完善药物滥用治疗的经济分析。调查结果以三张纸的形式提出。基于对九种治疗计划的试点成本研究，第一篇论文研究了药物滥用治疗计划员工应​​对两种旨在确定其计划成本的调查工具的能力：药物滥用治疗成本分析计划（DATCAP）和药物滥用治疗成本分析计划。成本数据审核工具（CDAI）。第二篇论文描述了从酒精和药物服务研究（ADSS）第二阶段中抽样的门诊药物滥用治疗计划收集的组织，客户和成本数据的计量经济学分析。微观经济成本理论和应用于医院服务的成本函数充当使用ADSS数据为门诊药物滥用治疗服务开发成本函数的框架。这两个因变量是每集的费用和每个注册日的费用。自变量包括组织变量，例如得分率，所有权类型，平均住院时间，每个注册日的访问次数以及客户特征，例如性别，年龄，少数群体状态，合并症和选择的主要药物。;第三篇论文涉及对可卡因和海洛因患者的同伴教育者短暂干预的一项临床试验的一项临床试验的收益成本分析，该试验于1997--2002年在波士顿医学中心进行。药物滥用治疗费用分析程序（DATCAP）用于检查机构和客户费用，而广义估计方程法用于使用管理数据集检查干预后一年的医疗费用抵消。 （摘要由UMI缩短。）

著录项

  • 作者

    Beaston-Blaakman, Aaron.;

  • 作者单位

    Brandeis University, The Heller School for Social Policy and Management.;

  • 授予单位 Brandeis University, The Heller School for Social Policy and Management.;
  • 学科 Economics General.; Health Sciences Health Care Management.; Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2006
  • 页码 101 p.
  • 总页数 101
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 经济学;预防医学、卫生学;预防医学、卫生学;
  • 关键词

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