Clinic Variation in the Cost-Effectiveness of Contingency Management
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| Název: | Clinic Variation in the Cost-Effectiveness of Contingency Management |
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| Autoři: | Olmstead, Todd A, Petry, Nancy M |
| Zdroj: | UCHC Articles - Research |
| Informace o vydavateli: | Digital Commons @ UConn |
| Rok vydání: | 2007 |
| Sbírka: | University of Connecticut (UConn): DigitalCommons@UConn |
| Témata: | Behavior Therapy/economics, Cost-Benefit Analysis/statistics & numerical data, Costs and Cost Analysis, Data Collection/standards, Data Collection/statistics & numerical data, Health Care Costs/statistics & numerical data, Humans, Meta-Analysis as Topic, Probability, Reinforcement (Psychology), Substance Abuse Detection/statistics & numerical data, Substance Abuse Treatment Centers/economics, Substance Abuse Treatment Centers/statistics & numerical data, Substance-Related Disorders/therapy, Treatment Outcome, Medicine and Health Sciences, Social and Behavioral Sciences |
| Popis: | This study determined whether, and by how much, the cost-effectiveness of contingency management (CM) varied across the eight clinics in the National Institute on Drug Abuse Clinical Trials Network MIEDAR trial. Incremental costs, incremental outcomes, and incremental costeffectiveness ratios (ICERs) of CM compared to usual care were calculated, compared and contrasted for each of the clinics. Results showed that the incremental cost of using CM compared to usual care varied by a factor of 1.9 across the clinics, ranging from an additional $306 to an additional $582 per patient. The effect of CM on the longest duration of continuous stimulant abstinence (LDA) varied by a factor of 8.0 across the clinics, ranging from an additional 0.5 to an additional 4.0 weeks. The ICERs for the LDA varied by a factor of 4.6 across the clinics, ranging from $145 to $666. These results show that the cost-effectiveness of CM varied widely among the clinics in the MIEDAR trial. Future research should focus on identifying the sources of this variation, perhaps by identifying clinic-level best practices and/or identifying those subgroups of patients that respond the most cost-effectively, with the ultimate goal of improving the costeffectivenessof CM overall. |
| Druh dokumentu: | text |
| Popis souboru: | application/pdf |
| Jazyk: | unknown |
| Relation: | https://digitalcommons.lib.uconn.edu/uchcres_articles/14; https://digitalcommons.lib.uconn.edu/context/uchcres_articles/article/1013/viewcontent/nihms279470.pdf |
| Dostupnost: | https://digitalcommons.lib.uconn.edu/uchcres_articles/14 https://digitalcommons.lib.uconn.edu/context/uchcres_articles/article/1013/viewcontent/nihms279470.pdf |
| Přístupové číslo: | edsbas.1B225FF5 |
| Databáze: | BASE |
Nájsť tento článok vo Web of Science | Abstrakt: | This study determined whether, and by how much, the cost-effectiveness of contingency management (CM) varied across the eight clinics in the National Institute on Drug Abuse Clinical Trials Network MIEDAR trial. Incremental costs, incremental outcomes, and incremental costeffectiveness ratios (ICERs) of CM compared to usual care were calculated, compared and contrasted for each of the clinics. Results showed that the incremental cost of using CM compared to usual care varied by a factor of 1.9 across the clinics, ranging from an additional $306 to an additional $582 per patient. The effect of CM on the longest duration of continuous stimulant abstinence (LDA) varied by a factor of 8.0 across the clinics, ranging from an additional 0.5 to an additional 4.0 weeks. The ICERs for the LDA varied by a factor of 4.6 across the clinics, ranging from $145 to $666. These results show that the cost-effectiveness of CM varied widely among the clinics in the MIEDAR trial. Future research should focus on identifying the sources of this variation, perhaps by identifying clinic-level best practices and/or identifying those subgroups of patients that respond the most cost-effectively, with the ultimate goal of improving the costeffectivenessof CM overall. |
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