To develop a methodology for obtaining the detailed costs of different substance misuse services and illustrate some of the specific problems by means of a case study.
Data on the resources required, clinical activity, and patient characteristics for one year were combined to provide detailed costs for different types of clinical events and patients.
The clinical services of a publicly funded addiction unit in a large industrial city in the UK The unit provides for alcohol and other drug misusers mainly on an outpatient basis but with inpatient care.
Over 1500 patients were included in the analysis with 75 per cent being male, and 80 per cent aged between 20 and 49.
Nearly half of the clients had alcohol as their main drug of misuse with opiate users being the next largest group.
Detailed costing by event and patient was possible as the staff type and time taken for each event were routinely recorded.
A cost for each individual event was estimated and summed for each individual patient to give a cost estimate by patient for the financial year 1992/3. Findings.
Core treatment outpatient events had an average cost of £48, with new assessments costing £87 but these averages hid high variations.
The average cost per year for those receiving only outpatient care was £358 ; it was £1857 for those receiving both outpatient and inpatient care.
Opiate misusers were on average more costly than alcohol misusers. (...)
Mots-clés Pascal : Toxicomanie, Sevrage toxique, Traitement, Service santé, Analyse coût, Grande Bretagne, Royaume Uni, Europe, Economie santé, Homme
Mots-clés Pascal anglais : Drug addiction, Poison withdrawal, Treatment, Health service, Cost analysis, Great Britain, United Kingdom, Europe, Health economy, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0443346
Code Inist : 002B18H05B. Création : 03/02/1998.