Economic Evaluation of Addiction Services

描述（由申请人提供）： 对毒品预防方案和治疗干预措施进行经济评估对于确定稀缺资源的最有效利用至关重要。虽然这一领域的工作继续增长，但仍然缺乏对此类计划进行严格的经济评估。该K 01奖将使Jennifer Prah Ruger博士能够提高她的技能，对妇女，青少年和少数群体成员等弱势群体的成瘾服务效率进行卫生经济和政策研究，最终改善这些服务不足的人群的成瘾服务。该提案的具体目标是：（1）获得吸毒疾患流行病学和病因学方面的先进知识;（2）加深对评估和治疗吸毒疾患及相关共病的临床方法的理解;（3）增强专门与戒毒服务经济评价有关的知识和技能;及（4）在负责任地进行研究方面获得持续培训。Prah Ruger博士的职业发展计划包括与琳达B的监督学习。Cottler博士与Arlene Rubin Stiffman博士合著与药物滥用和青少年心理健康服务有关的问题;法语博士和米尔顿C.温斯坦博士关于经济评估的方法，沿着课程作业，大型圆桌会议，相关的系列研讨会和专业会议。Prah Ruger博士将利用通过这些职业发展活动获得的知识和技能开展三个研究项目。第一个项目包括对低收入孕妇戒烟计划的成本效益进行评估（Weinstein博士）。第二个项目评估了一项三臂公共卫生干预措施的增量成本效益和成本效用分析，以预防高危吸毒妇女的艾滋病毒和性传播疾病（Cottler和Weinstein博士）。第三个项目审查了保留地和城市的美国印第安青年（博士Stiffman和法国）的成瘾和心理健康服务的成本。拟议的计划将为Prah Ruger博士提供培训，指导，时间和资源，以发展特定的技能和知识，使她能够领导对成瘾服务经济评估的独立研究。

DESCRIPTION (provided by applicant): Economic evaluation of drug prevention programs and treatment interventions is critical to identify the most efficient use of scarce resources. While work in this area continues to grow, there is still a dearth of rigorous economic evaluations of such programs. This K01 Award would allow Dr. Jennifer Prah Ruger to advance her skills to conduct health economic and policy research on the efficiency of addiction services among vulnerable populations such as women, adolescents and members of minority groups to ultimately improve addiction services for these underserved populations. The specific aims of this proposal are: (1) to acquire advanced knowledge of the epidemiology and etiology of substance use disorders; (2) to develop greater understanding of clinical approaches to the assessment and treatment of drug use disorders and associated comorbid conditions; (3) to enhance knowledge and skills pertaining specifically to the economic evaluation of addiction services; and (4) to obtain ongoing training in the responsible conduct of research. Dr. Prah Ruger's career development plan includes supervised study with Linda B. Cottler, Ph.D. in relation to epidemiological and substance abuse issues; with Arlene Rubin Stiffman, Ph.D. on issues related to substance abuse and mental health services for adolescents; and with Michael T. French, Ph.D. and Milton C. Weinstein, Ph.D. on the methods of economic evaluation, along with coursework, grand rounds, relevant seminar series, and professional meetings. Dr. Prah Ruger will use the knowledge and skills developed through these career development activities to conduct three research projects. The first project includes an assessment of the cost effectiveness of a smoking cessation program for low-income pregnant women (Dr. Weinstein). The second project evaluates the incremental cost-effectiveness and cost-utility analysis of a three-arm public health intervention to prevent HIV and STDs in at-risk, drug-using women (Drs. Cottler and Weinstein). The third project examines the costs of addiction and mental health services for reservation- and urban-based American Indian youth (Drs. Stiffman and French). The proposed plan will provide Dr. Prah Ruger with the training, mentoring, time and resources to develop the specific skills and knowledge that will allow her to lead independent research on the economic evaluation of addictive services.