摘要
[目的]估计柳州2006年美沙酮维持门诊运作一年的成本及效益产出,探讨评价美沙酮计划的方法。[方法]在人员治疗费用、人员经费、基建投入、设备投入、工作运行、学习、培训、行政管理、人力资源等领域收集成本。在节约药物滥用费用、生产力资源、财物损失、疾病经济负担、公安司法成本等方面进行效益估计;资料收集:对包括美沙酮门诊在内的4个戒毒治疗机构进行访谈及治疗调查。对4个机构668名治疗对象的个案调查,并对禁毒、司法、劳动保障、统计、档案、公安部门进行访谈。[结果]2006年柳州美沙酮维持门诊社会成本投入为32.76万元,平均每个就诊人次成本投入5.22元。私人成本103.07万元,每个就诊人次个人成本为16.44元;美沙酮维持门诊日就诊人数为200名,日平均求诊率约40%,参加美沙酮计划后从业人数增加了8%;4种模式美沙酮维持门诊、自愿康复戒毒、强制戒毒、劳教戒毒的效益成本比率BCR值分别为:20.19﹥1.13﹥1.11﹥0.69。[结论]按照效益一成本比率大小顺序排列,比率高的美沙酮维持门诊治疗为最优方案。因此推行美沙酮门诊计划可使社会上药物滥用问题涉及的社会成本(社会资源及生产力成本和犯与财物有关罪行而言)得以减低,还可以减低药物滥用引起的疾病经济负担。
[Objective] To estimate and evaluate circannual costs and benefits of methadone maintenance treatment （MMT） in the communities of Liuzhou, [Methods] By delivering questionnaires to 668 MMT clinic persons and visiting associated government departments such as drug-forbiddance, justice, work-insurance, statistic, file and public security, we acquired the expenses of treatment, personnel funds, fundamental construction, equipments and training. We also estimated the benefits of personal cost-cutting, productiivity resource, property losing, economic burden of disease, public security and justice. [Results] The benefit-cost ratio （BCR） of 4 models that MMT clinic, voluntary detoxification, compulsory detoxification and detoxification in the reeducation center, was 20.19, 1.13, 1.11 and 0.69 respectively. [Conclusion] MMT clinic is the most effective program to lower the social cost and economic burden of disease induced by drug abuse.
出处
《现代预防医学》
CAS
北大核心
2008年第3期477-478,481,共3页
Modern Preventive Medicine
基金
全球基金第四轮艾滋病应用性研究项目课题(2005GF4OR006)
关键词
美涉酮维持治疗
成本
效益
Methadone maintenance treatment
Cost
Benefit
