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正义社区阿片类药物创新网络(JCOIN)的健康经济分析。

Health economic analyses of the justice community opioid innovation network (JCOIN).

机构信息

Department of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.

University of Chicago, Chicago, IL, USA.

出版信息

J Subst Abuse Treat. 2021 Sep;128:108262. doi: 10.1016/j.jsat.2020.108262. Epub 2021 Jan 6.

Abstract

The Justice Community Opioid Innovation Network (JCOIN) will generate real-world evidence to address the unique needs of people with opioid use disorder (OUD) in justice settings. Evidence regarding the economic value of OUD interventions in justice populations is limited. Moreover, the variation in economic study designs is a barrier to defining specific interventions as broadly cost-effective. The JCOIN Health Economics Analytic Team (HEAT) has worked closely with the Measures Committee to incorporate common economic measures and instruments across JCOIN studies, which will: a) ensure rigorous economic evaluations within each trial; b) enhance comparability of findings across studies; and c) allow for cross-study analyses of trials with similar designs/settings (e.g., pre-reentry MOUD), to assess questions beyond the scope of a single study, while controlling for and evaluating the effect of intervention-, organizational-, and population-level characteristics. We describe shared trial characteristics relevant to the economic evaluations, and discuss potential cross-study economic analyses.

摘要

司法社区阿片类药物创新网络(JCOIN)将生成真实世界的证据,以满足司法环境中阿片类药物使用障碍(OUD)人群的独特需求。关于司法人群中 OUD 干预措施的经济价值的证据有限。此外,经济研究设计的差异是将特定干预措施定义为广泛具有成本效益的障碍。JCOIN 健康经济分析团队(HEAT)与措施委员会密切合作,在 JCOIN 研究中纳入常见的经济措施和工具,这将:a)确保每个试验内进行严格的经济评估;b)增强研究间发现的可比性;c)允许对具有相似设计/环境的试验进行跨研究分析(例如,预重返 MOUD),以评估单个研究范围之外的问题,同时控制和评估干预、组织和人群水平特征的影响。我们描述了与经济评估相关的共享试验特征,并讨论了潜在的跨研究经济分析。

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