Kraemer Kevin L
Center for Research on Health Care, 230 McKee Place, Pittsburgh, PA 15213, USA.
Subst Abus. 2007;28(3):67-77. doi: 10.1300/J465v28n03_07.
Economic evaluation can be a valuable tool for assessing the efficiency and value of health care programs. To examine the literature on the economic evaluation of alcohol screening and brief intervention in medical settings, relevant studies were identified in the MEDLINE database (1966 through November 2006) and by hand-searching the references of identified articles and relevant journals. The 15 identified studies used a range of economic evaluation methods, including cost analysis, cost-benefit, cost-effectiveness, and cost-utility. Nearly all of the studies supported the use of alcohol screening and brief intervention. The studies that prospectively collected cost and effect data and/or conformed closely to methodological guidelines demonstrated a strong economic benefit of alcohol screening and brief intervention when compared to usual care. Overall, the reviewed studies support alcohol SBI in medical settings as a wise use of health care resources and illustrate the usefulness of economic evaluation for assessing alcohol prevention and treatment programs.
经济评估可以成为评估医疗保健项目效率和价值的宝贵工具。为了研究医学环境中酒精筛查和简短干预的经济评估文献，我们在MEDLINE数据库（1966年至2006年11月）中通过手工检索已识别文章和相关期刊的参考文献来识别相关研究。所识别的15项研究使用了一系列经济评估方法，包括成本分析、成本效益、成本效果和成本效用。几乎所有研究都支持使用酒精筛查和简短干预。与常规护理相比，前瞻性收集成本和效果数据和/或严格符合方法学指南的研究表明，酒精筛查和简短干预具有显著的经济效益。总体而言，所审查的研究支持在医疗环境中进行酒精筛查和简短干预，认为这是对医疗资源的明智利用，并说明了经济评估在评估酒精预防和治疗项目方面的有用性。
