COSTS AND BENEFITS OF ALCOHOL SERVICES & INTERVENTIONS

尽管初级卫生保健项目的经济评估在方法论和实证方面取得了相当大的进展，但经济评估技术并未系统地应用于行为卫生保健研究，特别是成瘾干预研究。与其他保健领域相比，由于提供系统的多样性、筹资方案的复杂性以及社会和经济结果的广泛范围，对成瘾干预措施的评价也特别复杂。随着对酒精滥用服务和干预措施的经济评价结果的持续需要，本项目将涉及以下三个广泛目标：1.审查最近开发的估算药物滥用服务和干预措施的经济成本和收益的方法是否可用于酒精滥用服务和干预措施的评价研究；2.作出任何修改和/或改进，以定制这些先前开发的方法和工具，用于当前的酒精滥用服务和干预措施研究；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由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，测试使用这些当代酒精滥用服务和干预经济评估方法的实用性和科学完整性。拟议的研究将补充和扩大与国家药物滥用研究所(NIDA)现有的一项研究补助金，该研究的重点是开发和测试药物滥用干预措施的经济评估方法，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月赠款开始以来，已经制定了各种经济评估方法，并进行了实证检验和实施。据推测，大多数方法也可以应用于酒精滥用服务和干预。为了为测试这些方法提供一个经验实验室，拟议研究的调查小组召集了一个令人印象深刻的NIAAA受资助者小组，他们提供对其当前项目的结果和其他数据的访问，目的是在其研究研究中增加(或改进)经济评估部分。由于美国和国外对酒精滥用服务和干预措施的经济评估研究的需求正在增加，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任制定经济评估指南和“现实世界”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.