Toward cost-effective staffing mixes for Veterans Affairs substance use disorder treatment programs

Background In fiscal year (FY) 2008, 133,658 patients were provided services within substance use disorders treatment programs (SUDTPs) in the U.S. Department of Veterans Affairs (VA) health care system. To improve the effectiveness and cost-effectiveness of SUDTPs, we analyze the impacts of staffin...

Celý popis

Uloženo v:
Podrobná bibliografie
Vydáno v:BMC health services research Ročník 15; číslo 1; s. 515
Hlavní autoři: Im, Jinwoo J., Shachter, Ross D., Finney, John W., Trafton, Jodie A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 23.11.2015
BioMed Central Ltd
Springer Nature B.V
Témata:
Addictions
Care and treatment
Cost-Benefit Analysis
Delivery of Health Care - economics
Drug use
Employment
Female
Health Administration
Health Care Costs
Health care expenditures
Health care policy
Health Informatics
Health Personnel - economics
HIV
Hospitals, Veterans - economics
Human immunodeficiency virus
Humans
Length of Stay - economics
Male
Medicine
Medicine & Public Health
Nursing Research
Optimization
Patients
Psychologists
Public Health
R&D
Research & development
Research Article
Studies
Substance abuse
Substance abuse treatment
Substance use disorder
Substance-Related Disorders - economics
Substance-Related Disorders - rehabilitation
Treatment Outcome
United States
United States Department of Veterans Affairs - economics
Variables
Veterans
Veterans - statistics & numerical data
Workforce planning
United States
Cost-benefit analysis
Staffing
Optimization
Substance use disorder (SUD)
ISSN:1472-6963, 1472-6963
On-line přístup:Získat plný text
Tagy: Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
Popis
Shrnutí:Background In fiscal year (FY) 2008, 133,658 patients were provided services within substance use disorders treatment programs (SUDTPs) in the U.S. Department of Veterans Affairs (VA) health care system. To improve the effectiveness and cost-effectiveness of SUDTPs, we analyze the impacts of staffing mix on the benefits and costs of specialty SUD services. This study demonstrates how cost-effective staffing mixes for each type of VA SUDTPs can be defined empirically. Methods We used a stepwise method to derive prediction functions for benefits and costs based on patients’ treatment outcomes at VA SUDTPs nationally from 2001 to 2003, and used them to formulate optimization problems to determine recommended staffing mixes that maximize net benefits per patient for four types of SUDTPs by using the solver function with the Generalized Reduced Gradient algorithm in Microsoft Excel 2010 while conforming to limits of current practice. We conducted sensitivity analyses by varying the baseline severity of addiction problems between lower (2.5 %) and higher (97.5 %) values derived from bootstrapping. Results and conclusions Compared to the actual staffing mixes in FY01-FY03, the recommended staffing mixes would lower treatment costs while improving patients’ outcomes, and improved net benefits are estimated from $1472 to $17,743 per patient.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-015-1175-7