中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/11343
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    Please use this identifier to cite or link to this item: http://ir.cmu.edu.tw/ir/handle/310903500/11343


    Title: 藥物濫用醫療成本效果分析
    Authors: 馬作鏹(Tsochiang Ma)
    Contributors: 公共衛生學院醫務管理學系
    Keywords: 藥物濫用;成本效果分析;治療模式;QALYs;drug abuse;cost-effectiveness analysis;treament model;Quality-Adjusted Life Years
    Date: 2004-12-31
    Issue Date: 2009-09-01 15:10:35 (UTC+8)
    Abstract: 一、 研究目的: 1. 評估藥癮治療者於藥物戒治期間於治療上的直接費用。 2. 評估藥癮治療者於藥物戒治期間於治療上的間接費用。 3. 評估藥癮治療者於藥物戒治後所獲得的治療成效。 4. 評估藥癮治療的醫療成本效果比值。 5. 評估不同藥物戒治模式之成本效果。 二、 研究方法:本研究將採前瞻式研究設計,以台北市立療養院、署立草屯療養院及高雄市立凱旋醫院作為本研究對象,在合格收案者進入不同戒治模式後,即進行前測量表測量,量表包含:基本資料(病患人口變數、生產力損失及時間成本)、中文版成癮嚴重度指標(Addiction Severity Index, ASI)及生活品質量表(Short Form-36, SF-36),在前測完成後,將針對ASI及SF-36二份量表分別進行信、效度檢定;並於接受生理戒治期完成三個月後的門診追踨,再進行二項評估量表後測。醫療院所成本將以三家醫院之財務報表進行成本推估;效果則以治療前後成癮嚴重度差異、治療前後生活品質差異與QALYs進行衡量;成本效果比率 (cost effectiveness ratio)則將於生理戒治完成後計算之。成本效果評估模型中,各項成本及效果應如何評估,至此可建立完成,最後我們將以複迴歸及邏輯斯迴歸模型進行影響治療成效之因素探討。三、 預期效益: 本研究期望透過文獻探討、問卷評估及各種資料收集的方式,利用成本效果分析模式,進行國內主要藥癮戒治醫療機構藥物濫用醫療成效的評估,並進一步對影響治療成效及治療成本的相關因素進行探討,以作為藥物濫用防制政策之參考依據。

    In Taiwan, the rate of drug abuse criminal had grown 96.8% from 1991 to 2000. On the other hand, the average recurrence rate of treatment for drug abuser was 33.7% between 1998 and 2000. Drug abuse is now one of the most serious social problems. Therefore, how to effectively treat drug abuser becomes urgent issue for policy makers and health care providers. To treat drug abuse, several treatment modalities have been developed during past several decades. For treating drug abuse, three major treatment models are developed by Tsao-Tun Psychiatric Center, Taipei City Psychiatric Hospital respectively. The debate regarding which model is the most effectiveness continues. In this study, we will perform a formal cost-effectiveness analysis. For each model, outcome is based on QALYs improved and cost will be determined for hospital stay, direct and indirect cost relating treating drug abuse and loss of productivity. Our research is a prospective study. Subjects will be sampled from three major psychiatric hospitals in Taiwan. Three questionnaires including Addiction Severity Index (ASI), Short Form-36 (SF-36), Personality Questionnaire and hospital financial tables will be utilized to collect data. Multiple regression is used to identify the risk factors of treatment outcome.
    Appears in Collections:[Department and Graduate of Health Services Administration] Research reports

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