COSTS AND BENEFITS OF ALCOHOL SERVICES & INTERVENTIONS

尽管在初级卫生保健计划的经济评估方面有相当大的方法和经验发展，但经济评估技术并没有系统地应用于行为卫生保健的研究，特别是成瘾干预。与其他卫生保健领域相比，由于提供系统的多样性、筹资计划的复杂性以及广泛的社会和经济结果，对成瘾干预措施的评估也特别复杂。由于继续需要对酗酒服务和干预措施进行更多和更好的经济评价结果，本项目将致力于以下三个广泛目标：审查最近制定的估计药物滥用服务和干预措施的经济成本和效益的方法是否可用于对酒精滥用服务和干预措施的评价研究；2. 对这些早期开发的方法和工具进行任何修改和（或）改进，使之适合当前关于酗酒服务和干预措施的研究；3. 通过在阿肯色州、加利福尼亚州、佛罗里达州、伊利诺伊州、新墨西哥州、宾夕法尼亚州和威斯康星州的几个niaaa资助的服务研究和干预项目中添加（或补充）经济评估部分，测试使用这些当代经济评估方法对酒精滥用服务和干预措施的实用性和科学完整性。拟议的研究将补充和扩展与国家药物滥用研究所（NIDA）的现有研究资助，NIDA侧重于开发和测试药物滥用干预的经济评估方法，包括临床和金融工具在经济评估中的应用（例如，ASI， DATCAP， TSR） （1R01 DA11506）。自1998年9月开始拨款以来，已经开发了各种经济评估方法，并进行了实证测试和实施。据推测，大多数方法也可以应用于酒精滥用服务和干预。为了提供一个检验这些方法的实证实验室，这项研究的调查小组召集了一群令人印象深刻的NIAAA受助人，他们提供了他们当前项目的结果和其他数据，目的是在他们的研究中增加（或改进）经济评估部分。由于对酒精滥用服务和干预的经济评估研究的需求在美国和国外都在增加，因此拟议的研究具有重要的潜力，可以帮助研究人员、政策制定者和项目主管制定经济评估指南和“现实世界”的应用。

Despite considerable methodological and empirical developments in economic assessment of primary health care programs, economic evaluation techniques are not systematically adopted in studies of behavioral health care, especially addiction interventions. Compared to other health care areas, evaluation of addiction interventions is also particularly complex due to the diversity of delivery systems, the perplexity of the financing schemes, and the wide spectrum of social and economic outcomes. With the continuing need for more and improved economic evaluation findings for alcohol abuse services and interventions, the present project will address the following three broad aims: 1. Examine whether recently developed methods to estimate the economic costs and benefits of drug abuse services and interventions can be utilized in evaluation studies of alcohol abuse services and interventions; 2. Make any modifications and/or enhancements to customize these earlier developed methodologies and instruments for use in current studies of alcohol abuse services and interventions; 3. Test the practicality and scientific integrity of using these contemporary economic evaluation methods for alcohol abuse services and interventions by adding (or supplementing) an economic evaluation component to several NIAAA-funded services research and intervention projects in Arkansas, California, Florida, Illinois, New Mexico, Pennsylvania, and Wisconsin. The proposed study will complement and extend an existing research grant with the National Institute on Drug Abuse (NIDA), which focuses on developing and testing economic evaluation methods for drug abuse interventions, including the application of clinical and financial instruments in economic evaluation (e.g., ASI, DATCAP, TSR) (1R01 DA11506). Since the start of the grant in September 1998, various economic evaluation methods have been developed, empirically tested, and implemented. Presumably, most of the methods can be applied to alcohol abuse services and interventions as well. To provide an empirical laboratory for testing these methods, the investigative team for the proposed study has assembled an impressive group of NIAAA grantees that have offered access to outcome and other data from their current projects for the purposes of adding (or improving) an economic evaluation component to their research studies. Since the demand for economic evaluation studies of alcohol abuse services and interventions is increasing in the U.S. as well as abroad, the proposed study holds important potential to assist researchers, policymakers, and program directors with economic evaluation guidelines and "real world" applications.