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最有效地利用稀缺资源至关重要。虽然这一领域的工作在继续增长，但对这类项目仍然缺乏严格的经济评估。这一K01奖将使Jennifer Prah Ruger博士能够提高她的技能，就妇女、青少年和少数群体等弱势群体中成瘾服务的效率进行卫生、经济和政策研究，最终改善对这些服务不足的人群的成瘾服务。这项建议的具体目标是：(1)获得药物使用障碍的流行病学和病因学方面的高级知识；(2)加深对评估和治疗药物使用障碍及相关并存情况的临床方法的了解；(3)加强与成瘾服务经济评估有关的知识和技能；以及(4)获得负责任的研究工作的持续培训。Prah Ruger博士的职业发展计划包括与Linda B.Cottler博士就流行病学和药物滥用问题进行监督研究；与Arlene Rubin Stiffman博士就与青少年药物滥用和心理健康服务有关的问题进行监督研究；与Michael T.French博士和Milton C.Weinstein博士就经济评估方法进行监督研究，以及课程作业、大型轮回、相关研讨会系列和专业会议。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进行三个研究项目。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(温斯坦博士)。第二个项目评估三臂公共卫生干预措施在高危吸毒妇女中预防艾滋病毒和性传播疾病的增量成本效益和成本效用分析(Cottler和Weinstein博士)。第三个项目调查了为居住在保留地和城市的美国印第安人青年(斯蒂夫曼博士和弗伦奇博士)提供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的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.