COSTS AND BENEFITS OF ALCOHOL SERVICES & INTERVENTIONS

尽管初级卫生保健计划的经济评估方法和经验的发展，经济评估技术没有系统地采用行为卫生保健，特别是成瘾干预的研究。 与其他卫生保健领域相比，成瘾干预措施的评估也特别复杂，因为交付系统的多样性，融资计划的复杂性以及广泛的社会和经济结果。 随着对酗酒服务和干预措施的更多和更好的经济评估结果的持续需求，本项目将致力于以下三大目标：1.审查最近开发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酒精滥用服务和干预措施的评价研究; 2.进行任何修改和/或改进，以定制这些早期开发的方法和工具，用于当前的酗酒服务和干预研究; 3.测试的实用性和科学的完整性，使用这些当代的经济评价方法，酒精滥用服务和干预措施，通过添加（或补充）的经济评价组件到几个NIAAA资助的服务研究和干预项目在阿肯色州，加州，佛罗里达，伊利诺伊州，新墨西哥州，宾夕法尼亚州，和威斯康星州。拟议的研究将补充和扩大与国家药物滥用研究所（NIDA）的现有研究赠款，重点是开发和测试药物滥用干预措施的经济评价方法，包括在经济评价中应用临床和金融工具（例如，ASI、DATCAP、TSR）（1R01 DA11506）。 自1998年9月赠款开始以来，已开发出各种经济评估方法，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酗酒服务和干预。 为了提供一个实证实验室来测试这些方法，拟议研究的调查小组已经召集了一批令人印象深刻的NIAAA受赠者，他们提供了从他们目前的项目中获得结果和其他数据的机会，以便在他们的研究中添加（或改进）经济评估部分。 由于对酒精滥用服务和干预措施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“真实的世界”应用程序。

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.