Virtual/Mobile Overdose Response in Canada: A Social Return on Investment Analysis.

IF 4.9 2区 医学 Q1 ECONOMICS Value in Health Pub Date : 2024-10-18 DOI:10.1016/j.jval.2024.09.014
William Rioux, Dylan Viste, Stephanie Robertson, Linzi Williamson, Anne Miller, Evan Poncelet, S Monty Ghosh
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Abstract

Objectives: The overdose epidemic continues to be one of the leading causes of death in North America and continues to contribute to high healthcare costs. While harm reduction initiatives have significantly reduced the aforementioned costs, there is a dearth of evidence regarding overdose response hotlines and applications. We aim to evaluate the social return on investment (SROI) from a payer perspective of one such overdose response hotline, Canada's National Overdose Response Service, and its implications for service users, service operators, the Canadian healthcare system, and program funders.

Methods: Outcome variables determined from theory of change models were developed in consultation with the aforementioned vested interest groups. Proxy values were attributed to each variable identified through values present within existing literature and databases. These values were then compared to operational costs accounting for deadweight, attribution, and displacement to determine a final SROI ratio. A discount rate was then applied based on the influence of risk on the outcome achieved.

Results: The ratio illustrating the value created for all stakeholders, resulting from the $1,592,00 investment made over two years, is $15.84 per single dollar invested. The value generated stems primarily from overdose prevention, mental health support, staff employment, reductions in emergency service utilization, service referrals, and volunteer well-being, which outweigh costs including operational funding, work-related stressors, compassion fatigue, and false calls.

Conclusion: The results of our study demonstrate that the National Overdose Response Service provides a social value that far outweighs the costs attributed to the program's operation.

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目标期刊:健康价值》。
目标:用药过量仍然是北美地区的主要死亡原因之一,并继续导致高昂的医疗成本。尽管减低伤害的举措大大降低了上述成本,但有关用药过量应对热线和应用的证据却十分匮乏。我们旨在从付款人的角度评估一条用药过量响应热线(加拿大国家用药过量响应服务)的社会投资回报(SROI),以及其对服务使用者、服务运营商、加拿大医疗保健系统和项目资助者的影响:方法:与上述既得利益团体协商后,根据变革理论模型确定了结果变量。通过现有文献和数据库中的数值,为每个变量确定了代理值。然后,将这些值与运营成本进行比较,并考虑自重、归因和转移因素,以确定最终的 SROI 比率。然后,根据风险对所取得成果的影响采用贴现率:结果:结果表明,在两年时间里,1,592,00 美元的投资为所有利益相关者创造了 15.84 美元的价值。创造的价值主要来自于预防用药过量、心理健康支持、员工就业、减少紧急服务使用、服务转介和志愿者福利,这些价值超过了包括运营资金、工作压力、同情疲劳和错误呼叫在内的成本:我们的研究结果表明,全国用药过量响应服务所提供的社会价值远远超过了该计划的运营成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Value in Health
Value in Health 医学-卫生保健
CiteScore
6.90
自引率
6.70%
发文量
3064
审稿时长
3-8 weeks
期刊介绍: Value in Health contains original research articles for pharmacoeconomics, health economics, and outcomes research (clinical, economic, and patient-reported outcomes/preference-based research), as well as conceptual and health policy articles that provide valuable information for health care decision-makers as well as the research community. As the official journal of ISPOR, Value in Health provides a forum for researchers, as well as health care decision-makers to translate outcomes research into health care decisions.
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