Department of Public Health Sciences, University of Miami Miller School of Medicine, Soffer Clinical Research Center, Suite 1019, 1120 NW 14th Street, Miami, FL 33136, USA.
Department of Sociology and Health Economics Research Group, University of Miami, 5665 Ponce de Leon Boulevard, Flipse Building, Room 122, P.O. Box 248251, Coral Gables, FL 33124, USA.
J Subst Abuse Treat. 2017 Oct;81:25-34. doi: 10.1016/j.jsat.2017.07.008. Epub 2017 Jul 18.
Estimating the economic consequences of substance use disorders (SUDs) is important for evaluating existing programs and new interventions. Policy makers in particular must weigh program effectiveness with scalability and sustainability considerations in deciding which programs to fund with limited resources. This study provides a comprehensive list of monetary conversion factors for a broad range of consequences, services, and outcomes, which can be used in economic evaluations of SUD interventions (primarily in the United States), including common co-occurring conditions such as HCV and HIV.
Economic measures were selected from standardized clinical assessment instruments that are used in randomized clinical trials and other research studies (e.g., quasi-experimental community-based projects) to evaluate the impact of SUD interventions. National datasets were also reviewed for additional SUD-related consequences, services, and outcomes. Monetary conversion factors were identified through a comprehensive literature review of published articles as well as targeted searches of other sources such as government reports.
Eight service/consequence/outcome domains were identified containing more than sixty monetizable measures of medical and behavioral health services, laboratory services, SUD treatment, social services, productivity outcomes, disability outcomes, criminal activity and criminal justice services, and infectious diseases consequences. Unit-specific monetary conversion factors are reported, along with upper and lower bound estimates, whenever possible.
Having an updated and standardized source of monetary conversion factors will facilitate and improve future economic evaluations of interventions targeting SUDs and other risky behaviors. This exercise should be repeated periodically as new sources of data become available to maintain the timeliness, comprehensiveness, and quality of these estimates.
评估物质使用障碍 (SUD) 的经济后果对于评估现有方案和新干预措施非常重要。政策制定者必须权衡方案的有效性、可扩展性和可持续性，以有限的资源决定为哪些方案提供资金。本研究提供了一系列广泛的后果、服务和结果的货币转换因素，可用于 SUD 干预措施的经济评估（主要在美国），包括常见的共病如 HCV 和 HIV。
经济措施选自标准化的临床评估工具，这些工具用于随机临床试验和其他研究研究（例如，准实验性社区基础项目），以评估 SUD 干预措施的影响。还审查了国家数据集，以获取其他与 SUD 相关的后果、服务和结果。通过对已发表文章的全面文献回顾以及对政府报告等其他来源的有针对性搜索，确定了货币转换因素。
确定了八个服务/后果/结果领域，其中包含六十多种可货币化的医疗和行为健康服务、实验室服务、SUD 治疗、社会服务、生产力结果、残疾结果、犯罪活动和刑事司法服务以及传染病后果的衡量指标。尽可能报告了特定于单位的货币转换因素，以及上限和下限估计值。
拥有最新和标准化的货币转换因素来源将有助于并改善未来针对 SUD 和其他危险行为的干预措施的经济评估。随着新数据源的出现，应定期重复此操作，以保持这些估计的及时性、全面性和质量。
