Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, TRW Building, 3280 Hospital Dr NW, Calgary, AB, T2N 4Z6, Canada.
Community Health Sciences, Centre for Health Informatics, Cumming School of Medicine, University of Calgary, TRW Building, 3280 Hospital Dr NW, Calgary, AB, T2N 4Z6, Canada.
Harm Reduct J. 2022 Mar 28;19(1):32. doi: 10.1186/s12954-022-00609-5.
We report on a cost analysis study, using population level data to determine the emergency service costs avoided from emergency overdose management at supervised consumption services (SCS).
We completed a cost analysis from a payer's perspective. In this setting, there is a single-payer model of service delivery.
In Calgary, Canada, 'Safeworks Harm Reduction Program' was established in late 2017 and offers 24/7 access to SCS. The facility is a nurse-led service, available for client drop-in. We conducted a cost analysis for the entire duration of the program from November 2017 to January 2020, a period of 2 years and 3 months.
We assessed costs using the following factors from government health databases: monthly operational costs of providing services for drug consumption, cost of providing ambulance pre-hospital care for clients with overdoses who could not be revived at the facility, cost of initial treatment in an emergency department, and benefit of costs averted from overdoses that were successfully managed at the SCS.
The proportion of clients who have overdosed at the SCS has decreased steadily for the duration of the program. The number of overdoses that can be managed on site at the SCS has trended upward, currently 98%. Each overdose that is managed at the SCS produces approximately $1600 CAD in cost savings, with a savings of over $2.3 million for the lifetime of the program.
Overdose management at an SCS creates cost savings by offsetting costs required for managing overdoses using emergency department and pre-hospital ambulance services.
我们报告了一项成本分析研究，使用人群水平数据来确定从监督吸毒服务（SCS）进行紧急药物过量管理中避免的紧急服务成本。
我们从支付者的角度完成了成本分析。在这种情况下，存在服务提供的单一支付者模式。
在加拿大卡尔加里，“Safeworks 减少伤害计划”于 2017 年末成立，提供 24/7 进入 SCS 的服务。该设施是一个由护士领导的服务，可以为客户随时提供服务。我们对整个计划的全部期间（2017 年 11 月至 2020 年 1 月）进行了成本分析，为期 2 年零 3 个月。
我们使用政府健康数据库中的以下因素评估成本：提供吸毒服务的每月运营成本、无法在设施中复苏的过量吸毒者提供救护车院前护理的成本、在急诊室进行初始治疗的成本以及通过在 SCS 成功管理过量吸毒而节省的成本效益。
在整个计划期间，到 SCS 药物过量的客户比例稳步下降。可以在 SCS 现场管理的过量数量呈上升趋势，目前为 98%。在 SCS 管理的每个过量都会产生大约 1600 加元 CAD 的成本节省，该计划的生命周期内节省超过 230 万加元。
通过抵消使用急诊室和院前救护车服务管理过量所需的成本，SCS 上的药物过量管理会产生成本节约。
