Stockdale S E, Keeler E, Duan N, Derose K P, Fox S A
RAND, Santa Monica, CA 90407-2138, USA.
Health Serv Res. 2000 Dec;35(5 Pt 1):1037-57.
To evaluate the costs of implementing a church-based, telephone-counseling program for increasing mammography use, and to identify the components of costs and the likely cost-effectiveness in hypothetical communities with varying characteristics.
DATA SOURCES/STUDY SETTING: An ethnically and socioeconomically diverse sample of 1,443 women recruited from 45 churches participating in the Los Angeles Mammography Promotion (LAMP) program were followed from 1995 to 1997.
Churches were stratified into blocks and randomized into three intervention arms-telephone counseling, mail counseling, and control. We surveyed participants before and after the intervention to collect data on mammography use and demographic characteristics.
DATA COLLECTION/EXTRACTION METHODS: We used call records, activity reports, and interviews to collect data on the time and materials needed to organize and carry out the intervention. We constructed a standard model of costs and cost-effectiveness based on these data and the Year One results of the LAMP program.
The cost in materials and overhead to the church site was $10.89 per participant and $188 per additional screening. However, when the estimated cost for church volunteers' time was included, the cost of the intervention increased substantially.
A church-based program to promote the use of mammography would be feasible for many churches with the use of volunteer labor and resources.
评估实施一项基于教会的电话咨询项目以提高乳房X光检查使用率的成本，并确定成本构成以及在具有不同特征的假设社区中的潜在成本效益。
数据来源/研究背景：从参与洛杉矶乳房X光检查推广（LAMP）项目的45所教会招募了1443名妇女，她们在种族和社会经济方面具有多样性，于1995年至1997年接受跟踪调查。
教会被分层为不同街区，并随机分为三个干预组——电话咨询组、邮件咨询组和对照组。我们在干预前后对参与者进行了调查，以收集有关乳房X光检查使用情况和人口统计学特征的数据。
数据收集/提取方法：我们使用通话记录、活动报告和访谈来收集有关组织和实施干预所需时间和材料的数据。基于这些数据以及LAMP项目的第一年结果，我们构建了成本和成本效益的标准模型。
教会场所的材料和间接费用成本为每位参与者10.89美元，每增加一次筛查为188美元。然而，当将教会志愿者时间的估计成本包括在内时，干预成本大幅增加。
对于许多教会来说，利用志愿者劳动力和资源实施一项基于教会的促进乳房X光检查使用的项目是可行的。
