Department of Economics, University of New Mexico, Albuquerque, NM 87131, USA; Center on Alcoholism, Substance Abuse, and Addictions (CASAA), University of New Mexico, Albuquerque, NM 87106, USA.
Department of Emergency Medicine, University of New Mexico, Albuquerque, NM 87131, USA.
J Subst Abuse Treat. 2017 Aug;79:6-11. doi: 10.1016/j.jsat.2017.05.003. Epub 2017 May 4.
Screening, brief intervention, and referral to treatment (SBIRT) has been widely implemented as a method to address substance use disorders in general medical settings, and some evidence suggests that its use is associated with decreased societal costs. In this paper, we investigated the economic impact of SBIRT using data from Screening, Motivational Assessment, Referral, and Treatment in Emergency Departments (SMART-ED), a multisite, randomized controlled trial. Utilizing self-reported information on medical status, health services utilization, employment, and crime, we conduct a benefit-cost analysis. Findings indicate that neither of the SMART-ED interventions resulted in any significant changes to the main economic outcomes, nor had any significant impact on total economic benefit. Thus, while SBIRT interventions for substance abuse in Emergency Departments may be appealing from a clinical perspective, evidence from this economic study suggests resources could be better utilized supporting other health interventions.
筛查、简短干预和转介治疗（SBIRT）已广泛应用于普通医疗环境中解决物质使用障碍的方法，有证据表明其使用与降低社会成本有关。在本文中，我们利用 Screening、Motivational Assessment、Referral、and Treatment in Emergency Departments（SMART-ED）多地点随机对照试验的数据，研究了 SBIRT 的经济影响。我们利用关于医疗状况、卫生服务利用、就业和犯罪的自我报告信息进行了效益成本分析。研究结果表明，SMART-ED 的两种干预措施都没有导致主要经济结果发生任何显著变化，也没有对总经济效益产生任何重大影响。因此，虽然急诊科的 SBIRT 干预措施从临床角度来看可能很有吸引力，但这项经济研究的证据表明，资源可以更好地用于支持其他卫生干预措施。
