دانلود مقاله انگلیسی رایگان:تجزیه و تحلیل مقرون به صرفه بودن یک برنامه ادامه درمان نگهداری متادون مبتنی بر زندان در نیومکزیکو - 2020
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  • Cost-effectiveness analysis of a large jail-based methadone maintenance treatment continuation program in New Mexico Cost-effectiveness analysis of a large jail-based methadone maintenance treatment continuation program in New Mexico
    Cost-effectiveness analysis of a large jail-based methadone maintenance treatment continuation program in New Mexico

    سال انتشار:

    2020


    عنوان انگلیسی مقاله:

    Cost-effectiveness analysis of a large jail-based methadone maintenance treatment continuation program in New Mexico


    ترجمه فارسی عنوان مقاله:

    تجزیه و تحلیل مقرون به صرفه بودن یک برنامه ادامه درمان نگهداری متادون مبتنی بر زندان در نیومکزیکو


    منبع:

    Sciencedirect - Elsevier - Journal of Substance Abuse Treatment, 115 (2020) 108042. doi:10.1016/j.jsat.2020.108042


    نویسنده:

    Brady P. Horna,b,⁎, Xiaoxue Lia, Barbara McCradyb,c, Paul Guerind, Michael T. Frenche


    چکیده انگلیسی:

    The U.S. has the second-highest incarceration rate in the world and spends more than $80 billion annually to house inmates. The clinical research literature suggests that methadone maintenance treatment (MMT) is an effective method to treat opioid use disorders (OUD) and that jails are a potentially valuable environment to implement MMT. Currently, jail-based MMT is rarely implemented in practice, due in part to resource limitations and other economic considerations. The primary goal of this study was to perform a cost-effectiveness analysis (CEA) of jail-based MMT using data from a unique MMT continuation program located in a large urban jail in New Mexico. Recidivism data were collected for a three-year period both before and after incarceration, and quasi-control groups were constructed from both substance-using and general populations within the jail. Base models show that inmates enrolled in jail-based MMT exhibited significantly fewer days of incarceration due to recidivism (29.33) than a group of inmates with OUDs who did not receive MMT. Economic estimates indicate that it cost significantly less ($23.49) to reduce an incarcerated day using jail-based MMT than incarceration per se ($116.49). To mitigate potential sample selection bias, we used both propensity-score-matching and difference- in-differences estimators, which provided comparable estimates when using the OUD non-MMT comparison group. Difference-in-differences models find that, on average, MMT reduced recidivism by 24.80 days and it cost $27.78 to reduce an incarcerated day using jail-based MMT. Assuming a willingness to pay threshold of the break-even cost of reducing one incarcerated day, we estimate a 93.3% probability that this MMT program is cost-effective. Results were not as strong or consistent when using other comparison groups (e.g., alcohol-detoxified and general-population inmates). Overall, results suggest that it costs substantially less to provide jailbased MMT than incarceration alone. Jail administrators and policymakers should consider incorporating MMT in other jail systems and settings.
    Keywords: Opioid use disorder | Methadone maintenance | Cost-effectiveness analysis | Jail | Recidivism


    سطح: متوسط
    تعداد صفحات فایل pdf انگلیسی: 8
    حجم فایل: 755 کیلوبایت

    قیمت: رایگان


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