ECONOMIC EVALUATION METHODS--DEVELOPMENT & APPLICATIONS

描述：(申请人摘要) 项目评估研究在医疗保健领域有着悠久的传统，有许多 评价方法具有科学的先进性和经验性。 然而，药物滥用干预的项目评估是一个相对较大的 新科学，尤其是关于经济成本和收益的估计。 理论和实证经济评价研究的匮乏是 对于药物滥用项目来说尤其不幸，因为当代 资金来源(即保险公司、管理型医疗机构、 州立法机构、中央政府、基金会)要求 这些计划显示出正的净收益。几乎没有任何指导 如何进行或解释经济分析，这些计划正处于一个 对于获得有竞争力的医疗保健资金来说，这是明显的劣势。vt.给出 药物滥用经济评价研究的必要性 在参考文献的基础上，拟议的应用将完成以下广泛目标。 (一)发展和完善科学严谨又务实的经济 易于适应各种类型药物的评价方法 虐待干预，特别是治疗和预防方案。2. 检验这些经济评价的实用性和科学性 方法使用来自目前资助的药物滥用研究的数据 没有结构化的或高级的经济分析部分。建议数 研究将为调查人员继续进行富有成效的 通过承诺资源进行药物滥用经济学研究计划 方法开发和测试的重要任务。该研究和 这一应用的政策意义是直接和广泛的。一个 大多数药物滥用研究人员和从业者相信 大多数结构化的药物滥用方案/干预措施都是有效的 相对于其他健康项目而言具有成本效益(例如，短暂咨询、自助 不健康(例如，法律制裁、胁迫计划) 另类选择。然而，为了保证他们在今天的医疗保健中生存下来 环境、药物滥用方案/干预措施必须证明其 通过严格的经济分析实现经济价值 客户、公职人员和第三方付款人的量化证据。

DESCRIPTION: (Applicant's Abstract) Program evaluation research has a long tradition in health care and many evaluation methods are scientifically advanced and empirically tested. However, program evaluation of substance abuse interventions is a relatively new science, especially regarding estimation of economic costs and benefits. The dearth of both theoretical and empirical economic evaluation studies is particularly unfortunate for substance abuse programs because contemporary funding sources (i.e., insurance companies, managed care organizations, State legislatures, national government, foundations) are demanding that these programs demonstrate positive net benefits. With little guidance on how to conduct or interpret economic analyses, these programs are at a distinct disadvantage for securing competitive health care dollars. Given the great need for economic evaluation studies in the substance abuse literature, the proposed application will complete the following broad aims. 1. Develop and improve scientifically rigorous yet practical economic evaluation methods that can be readily adapted to various types of drug abuse interventions, particularly treatment and prevention programs. 2. Test the practicality and scientific integrity of these economic evaluation methods using data from currently funded drug abuse research studies that do not have a structured or advanced economic analysis component. The proposed study would provide support for the investigators to continue a productive research program on the economics of substance abuse by committing resources to the important task of methods development and testing. The research and policy significance of this application is immediate and widespread. A majority of substance abuse researchers and practitioners are convinced that most structured substance abuse programs/interventions are effective and cost-effective relative to other health (e.g., brief counseling, self-help groups) and non-health (e.g., legal sanctions, coercion programs) alternatives. However, to guarantee their survival in today's health care environment, substance abuse programs/interventions must demonstrate their economic value through rigorous economic analyses that will generate quantitative evidence for clients, public officials, and third-party payers.