Cost analysis in implementation studies of evidence-based practices for mental health and substance use disorders: a systematic review.
Cost analysis in implementation studies of evidence-based practices for mental health and substance use disorders: a systematic review.
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DOI：
10.1186/s13012-021-01094-3
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发表时间：
2021-03-12
期刊：
影响因子：
--
通讯作者：
McCollister KE
中科院分区：
文献类型：
--
作者：
Bowser DM;Henry BF;McCollister KE
这项研究是对行为健康服务实施研究中进行的成本分析的系统文献回顾。实施循证实践(EBP)的成本分析在实施科学中已变得重要，对于弥合研究与实践之间的差距以改善获得高质量医疗服务的机会至关重要。这一领域的成本计算研究很少，但很有必要，因为成本可能成为实施和维持EBP的障碍。我们遵循系统回顾和荟萃分析(PRISMA)方法的首选报告项目，并应用综合卫生经济评估报告标准(CHEERS)核对表。关键词包括：(1)经济学，(2)实施，(3)EBP，和(4)行为健康。在文章标题和摘要中搜索术语：Econlit、SocINDEX、Medline和SouInfo。共有464篇摘要由两位作者独立筛选，并根据纳入和排除标准减少到37篇。经过全文综述，纳入18篇文章。调查结果被用来将成本分为直接实施、直接服务和间接实施。虽然所有研究都将实施阶段作为其设计的一部分，但只有五项研究审查了实施框架多个阶段的资源。大多数研究报告了与采用新实践相关的直接服务成本，通常总结为EBP总成本、每个客户的成本、每个临床医生的成本和/或每个机构的成本。对于有详细分析的研究，有11个直接成本类别。在报告了每名儿童的费用的五项研究中，直接实施费用从每名儿童886美元到9470美元不等，而间接实施费用从每名儿童897美元到3805美元不等。这是第一次系统的文献综述，以检查在行为保健环境中实施EBP的成本。自2000年以来，确定了18项研究，其中包括成本分析。由于研究设计和经济方法千差万别，各研究之间的比较具有挑战性，这是该领域的一个主要限制，因为很难复制研究或估计未来的费用，以便为与预算编制有关的决策提供信息。我们建议今后的经济执行研究应考虑采用标准的经济成本计算方法，涵盖执行框架各阶段的成本，以支持比较和可复制性。
This study is a systematic literature review of cost analyses conducted within implementation studies on behavioral health services. Cost analysis of implementing evidence-based practices (EBP) has become important within implementation science and is critical for bridging the research to practice gap to improve access to quality healthcare services. Costing studies in this area are rare but necessary since cost can be a barrier to implementation and sustainment of EBP. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology and applied the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Key search terms included: (1) economics, (2) implementation, (3) EBP, and (4) behavioral health. Terms were searched within article title and abstracts in: EconLit, SocINDEX, Medline, and PsychINFO. A total of 464 abstracts were screened independently by two authors and reduced to 37 articles using inclusion and exclusion criteria. After a full-text review, 18 articles were included. Findings were used to classify costs into direct implementation, direct services, and indirect implementation. While all studies included phases of implementation as part of their design, only five studies examined resources across multiple phases of an implementation framework. Most studies reported direct service costs associated with adopting a new practice, usually summarized as total EBP cost, cost per client, cost per clinician, and/or cost per agency. For studies with detailed analysis, there were eleven direct cost categories represented. For five studies that reported costs per child served, direct implementation costs varied from $886 to $9470 per child, while indirect implementation costs ranged from $897 to $3805 per child. This is the first systematic literature review to examine costs of implementing EBP in behavioral healthcare settings. Since 2000, 18 studies were identified that included a cost analysis. Given a wide variation in the study designs and economic methods, comparison across studies was challenging, which is a major limitation in the field, as it becomes difficult to replicate studies or to estimate future costs to inform policy decisions related to budgeting. We recommend future economic implementation studies to consider standard economic costing methods capturing costs across implementation framework phases to support comparisons and replicability.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
15.8
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
DOI：
10.1007/s10791-008-9074-8
发表时间：
2009
期刊：
Information retrieval
影响因子：
--
作者：
Lu Z;Kim W;Wilbur WJ
通讯作者：
Wilbur WJ
影响因子：
2.2
作者：
McKee, Shari A.;Harris, Grant T.;Cormier, Catherine A.
通讯作者：
Cormier, Catherine A.
影响因子：
4.2
作者：
Kaplan, Robert M.;Gold, Marthe;Wilson, Dawn K.
通讯作者：
Wilson, Dawn K.