提供育儿和家庭支持的公共卫生基础设施成本
"The Costs of a Public Health Infrastructure for Delivering Parenting and Family Support".
作者信息
Foster E Michael, Prinz Ron, Sanders Matt, Shapiro Cheri J
机构信息
School of Public Health, University of North Carolina, Chapel Hill.
University of South Carolina.
出版信息
Child Youth Serv Rev. 2008 May;30(5):493-501. doi: 10.1016/j.childyouth.2007.11.002.
OBJECTIVES
To estimate the costs of building a public health infrastructure for delivering a population-wide evidence-based multi-level system of parenting interventions to strengthen parenting; reduce risk for child maltreatment and coercive parenting practices; and reduce the prevalence of early child behavioral and emotional problems.
METHODS
Using data from 9 South Carolina counties, this study examines the costs to service agencies of training a wide range of providers. Using data on the number of children and families served, the paper estimates the total costs of training providers sufficient to treat all children and families in a hypothetical community.
RESULTS
The costs of the universal media and communication component totaled less than $1.00 per child in the population. The costs of training service providers to deliver at other intervention levels were quite modest ($11.74 on a per child basis).
CONCLUSIONS
This study shows that a population-wide system of efficacious parenting programs aimed at reducing child behavioral and emotional problems and promoting effective parenting is quite feasible. Rough estimates suggest that these costs could be recovered in a single year by as little as a 10% reduction in the rate of abuse and neglect.
目标
评估建设公共卫生基础设施的成本，该基础设施用于提供面向全体人群的循证多层面育儿干预系统，以强化育儿能力；降低儿童遭受虐待和强制育儿行为的风险；以及降低幼儿行为和情绪问题的发生率。
方法
利用南卡罗来纳州9个县的数据，本研究考察了培训各类服务提供者对服务机构造成的成本。根据所服务儿童和家庭的数量数据，本文估算了在一个假设社区中培训足够数量的服务提供者以治疗所有儿童和家庭的总成本。
结果
面向全体人群的媒体和沟通部分的成本总计不到每人1.00美元。培训服务提供者以提供其他干预层面服务的成本相当适度（按每个儿童计算为11.74美元）。
结论
本研究表明，建立一个旨在减少儿童行为和情绪问题并促进有效育儿的面向全体人群的有效育儿项目系统是相当可行的。粗略估计表明，通过将虐待和忽视发生率仅降低10%，这些成本可在一年内收回。
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