Salomé Helena J, French Michael T, Miller Michael, McLellan A Thomas
Health Services Research Center, University of Miami, Miami, FL 33136, USA.
Drug Alcohol Depend. 2003 Aug 20;71(2):195-206. doi: 10.1016/s0376-8716(03)00133-9.
The costs of addiction treatment services are an important determinant of the cost-effectiveness of a program, and therefore, of relevance to addiction treatment providers, insurance companies and, patients. Several methods have been developed to estimate the costs of substance abuse treatment services. One such method is the drug abuse treatment cost analysis program (DATCAP), which collects resource use and cost data from the treatment program perspective and has been used in numerous published economic evaluation studies. However, no single widely-used, standardized instrument is currently available to estimate costs specifically incurred by clients in treatment. In response to that need, this article introduces the Client DATCAP and presents process, survey-specific, and quantitative findings from a Pilot Study to estimate the client costs of attending outpatient and inpatient treatment. The preliminary findings suggest that the self-administered Client DATCAP is a feasible and practical instrument for estimating costs incurred by clients in treatment, with completion time amounting to less than 10 min. Furthermore, client costs had a considerable range across respondents, with time costs consistently accounting for the largest cost component. Findings from the Pilot Study led to the development and release of edition 2 of the outpatient and inpatient modules of the Client DATCAP.
成瘾治疗服务的成本是项目成本效益的重要决定因素，因此，对成瘾治疗提供者、保险公司和患者都具有相关性。已经开发了几种方法来估算药物滥用治疗服务的成本。其中一种方法是药物滥用治疗成本分析项目（DATCAP），该项目从治疗项目的角度收集资源使用和成本数据，并已用于众多已发表的经济评估研究中。然而，目前尚无一种广泛使用的标准化工具可专门估算治疗中客户产生的成本。为满足这一需求，本文介绍了客户DATCAP，并展示了一项试点研究的过程、特定调查结果和定量结果，以估算门诊和住院治疗的客户成本。初步结果表明，自行填写的客户DATCAP是估算治疗中客户产生成本的一种可行且实用的工具，完成时间不到10分钟。此外，不同受访者的客户成本差异很大，时间成本一直是最大的成本组成部分。试点研究的结果促成了客户DATCAP门诊和住院模块第2版的开发和发布。
