The book series 'Medical Prescription of Narcotics' gives an account of the research reports of a Swiss study on prescription of narcotics to chronic heroin addicts. In this second volume the results are examined from an economical standpoint. The four main aspects analyzed are housing, work, legal behavior and health. The benefits are rated according to the changes in the quantified effects for the participants followed for one year after entry to the trial. The assessment of the partial benefits is expressed per participant and per day and subsequently added to find the overall benefit.…mehr
The book series 'Medical Prescription of Narcotics' gives an account of the research reports of a Swiss study on prescription of narcotics to chronic heroin addicts. In this second volume the results are examined from an economical standpoint. The four main aspects analyzed are housing, work, legal behavior and health. The benefits are rated according to the changes in the quantified effects for the participants followed for one year after entry to the trial. The assessment of the partial benefits is expressed per participant and per day and subsequently added to find the overall benefit. These results are compared with the costs of labor, narcotics, medical needs, and further operating costs of the project. The book is a stimulating contribution to the discussion on heroin maintenance, and provides essential arguments for decision makers in public health, politicians, administrators, physicians, therapists and social workers dealing with drug addicts.
1;Contents;6 2;Commentary;11 2.1;Estimation of the Costs of the Program;11 2.2;Estimation of the Program s Benefits;12 2.3;Comparison of Costs and Benefits;16 2.4;References;17 3;Cost Analysis on the Medical Prescription of Narcotics;19 3.1;Introduction;21 3.2;Definition of the Problem;22 3.2.1;2.1 General Situation;22 3.2.2;2.2 Scientific Program;22 3.2.3;2.3 Objectives;23 3.3;Methods;24 3.3.1;3.1 Scope of the Study;24 3.3.2;3.2 Procedure;24 3.3.3;3.3 Types of Costs;27 3.3.4;3.4 Validation of the Results;28 3.4;Results, Including Project Comparison;30 3.4.1;4.1 Introduction;30 3.4.2;4.2 Total Costs;31 3.4.3;4.3 Direct Costs;34 3.4.4;4.4 Labor Costs;36 3.4.5;4.5 Other Operating Costs (Material Costs);38 3.4.6;4.6 Revenues;39 3.4.7;4.7 Conclusions;41 3.5;Recommendations;43 3.6;Appendix;44 3.6.1;Remarks;44 4;Socioeconomic Evaluation of Heroin Maintenance Treatment;47 4.1;Overview;49 4.2;Introduction;51 4.2.1;8.1 The PROVE Program;51 4.2.2;8.2 Scientific Program;51 4.2.3;8.3 Socioeconomic Evaluation;52 4.2.4;8.4 Present State of Research;58 4.3;Rationale/Hypotheses;61 4.3.1;9.1 Housing;61 4.3.2;9.2 Work;62 4.3.3;9.3 Legal Behavior;62 4.3.4;9.4 Health;62 4.4;Methodology;64 4.4.1;10.1 Theoretical Concept;64 4.4.2;10.2 Practical Implementation;64 4.4.3;10.3 Data Sources;65 4.4.4;10.4 Cohorts Studied;66 4.5;Housing;68 4.5.1;11.1 Data Sources;68 4.5.2;11.2 Resource Use;68 4.5.3;11.3 Valuation;72 4.5.4;11.4 Calculation of Benefits;72 4.5.5;11.5 Results;73 4.5.6;11.6 Discussion;81 4.6;Work;83 4.6.1;12.1 Data Sources;83 4.6.2;12.2 Working Time;83 4.6.3;12.3 Valuation;88 4.6.4;12.4 Results;89 4.6.5;12.5 Discussion;95 4.7;Legal Behavior;98 4.7.1;13.1 Data Sources;98 4.7.2;13.2 Effects;99 4.7.3;13.3 Valuation;102 4.7.4;13.4 Results;106 4.7.5;13.5 Discussion;108 4.8;Health;112 4.8.1;14.1 Data Sources;112 4.8.2;14.2 Number of Diagnoses;112 4.8.3;14.3 Comparison Method;113 4.8.4;14.4 Assessment of Costs per Diagnosis;114 4.8.5;14.5 Results;115 4.8.6;14.6 Discussion;132 4.9;General Outlook;134 4.9.1;15.1 Introduction;134 4.9.2;15.2 Cost of the PROVE Program;134 4.9.3;15.3 Overall Benefit per Participant and Day;137 4.9.4;15.4 Comparison of Costs and Benefits;137 5;Literature;139 6;Subject Index;141
1;Contents;6 2;Commentary;11 2.1;Estimation of the Costs of the Program;11 2.2;Estimation of the Program s Benefits;12 2.3;Comparison of Costs and Benefits;16 2.4;References;17 3;Cost Analysis on the Medical Prescription of Narcotics;19 3.1;Introduction;21 3.2;Definition of the Problem;22 3.2.1;2.1 General Situation;22 3.2.2;2.2 Scientific Program;22 3.2.3;2.3 Objectives;23 3.3;Methods;24 3.3.1;3.1 Scope of the Study;24 3.3.2;3.2 Procedure;24 3.3.3;3.3 Types of Costs;27 3.3.4;3.4 Validation of the Results;28 3.4;Results, Including Project Comparison;30 3.4.1;4.1 Introduction;30 3.4.2;4.2 Total Costs;31 3.4.3;4.3 Direct Costs;34 3.4.4;4.4 Labor Costs;36 3.4.5;4.5 Other Operating Costs (Material Costs);38 3.4.6;4.6 Revenues;39 3.4.7;4.7 Conclusions;41 3.5;Recommendations;43 3.6;Appendix;44 3.6.1;Remarks;44 4;Socioeconomic Evaluation of Heroin Maintenance Treatment;47 4.1;Overview;49 4.2;Introduction;51 4.2.1;8.1 The PROVE Program;51 4.2.2;8.2 Scientific Program;51 4.2.3;8.3 Socioeconomic Evaluation;52 4.2.4;8.4 Present State of Research;58 4.3;Rationale/Hypotheses;61 4.3.1;9.1 Housing;61 4.3.2;9.2 Work;62 4.3.3;9.3 Legal Behavior;62 4.3.4;9.4 Health;62 4.4;Methodology;64 4.4.1;10.1 Theoretical Concept;64 4.4.2;10.2 Practical Implementation;64 4.4.3;10.3 Data Sources;65 4.4.4;10.4 Cohorts Studied;66 4.5;Housing;68 4.5.1;11.1 Data Sources;68 4.5.2;11.2 Resource Use;68 4.5.3;11.3 Valuation;72 4.5.4;11.4 Calculation of Benefits;72 4.5.5;11.5 Results;73 4.5.6;11.6 Discussion;81 4.6;Work;83 4.6.1;12.1 Data Sources;83 4.6.2;12.2 Working Time;83 4.6.3;12.3 Valuation;88 4.6.4;12.4 Results;89 4.6.5;12.5 Discussion;95 4.7;Legal Behavior;98 4.7.1;13.1 Data Sources;98 4.7.2;13.2 Effects;99 4.7.3;13.3 Valuation;102 4.7.4;13.4 Results;106 4.7.5;13.5 Discussion;108 4.8;Health;112 4.8.1;14.1 Data Sources;112 4.8.2;14.2 Number of Diagnoses;112 4.8.3;14.3 Comparison Method;113 4.8.4;14.4 Assessment of Costs per Diagnosis;114 4.8.5;14.5 Results;115 4.8.6;14.6 Discussion;132 4.9;General Outlook;134 4.9.1;15.1 Introduction;134 4.9.2;15.2 Cost of the PROVE Program;134 4.9.3;15.3 Overall Benefit per Participant and Day;137 4.9.4;15.4 Comparison of Costs and Benefits;137 5;Literature;139 6;Subject Index;141
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