职业康复在物质使用者治疗中的价值：一个成本效益框架。

The value of vocational rehabilitation in substance user treatment: a cost-effectiveness framework.

作者信息

Shepard Donald S, Reif Sharon

机构信息

Schneider Institute for Health Policy, Heller School, Brandeis University, Waltham, MA 02454-9110, USA.

出版信息

Subst Use Misuse. 2004;39(13-14):2581-609. doi: 10.1081/ja-200034732.

DOI:10.1081/ja-200034732

PMID:15603015

Abstract

Vocational rehabilitation (VR) programs within addiction treatment traditionally consider employment as the desired outcome. This singular focus ignores other benefits, such as.reduced substance use. A framework for evaluating the cost-effectiveness of VR within addiction treatment is presented and illustrated with data from the Alcohol and Drug Services Study (ADSS, 1996--1999). VR was associated with a 2.5% increase in probability of abstinence at an $883 increase in cost per admission. Thus, the estimated cost-effectiveness of VR in promoting abstinence is $35,000 per additional abstinent client ($883/0.025), indicating that VR is a cost-effective contributor to other goals of addiction treatment.

摘要

传统上，成瘾治疗中的职业康复（VR）项目将就业视为预期结果。这种单一的关注点忽视了其他益处，比如减少物质使用。本文提出了一个评估成瘾治疗中VR成本效益的框架，并用酒精和药物服务研究（ADSS，1996 - 1999年）的数据进行了说明。VR与戒酒概率增加2.5%相关，每次入院成本增加883美元。因此，VR在促进戒酒方面的估计成本效益为每增加一名戒酒客户35,000美元（883美元/0.025），这表明VR是成瘾治疗其他目标的成本效益贡献因素。