Making Better Decisions: Policy Modeling for AIDS and Drug Abuse

做出更好的决策：艾滋病和药物滥用的政策建模

基本信息

批准号：
8094334
负责人：
DOUGLAS K OWENS
金额：
$ 60.6万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-09-25 至 2013-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8094334
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address Area Award Behavioral Caring Clinical Collaborations Decision Making Development Drug abuse Economic Models Economics Effectiveness Effectiveness of Interventions Epidemic Equilibrium Foundations Funding Goals Growth HIV HIV Infections Head Health Health Benefit Health Expenditures Infection International International AIDS Intervention Life Manuscripts Mathematics Medical Methods Modeling Morality National Institute of Drug Abuse Needle Sharing Outcome Outcome Measure Paper Peer Review Persons Policies Policy Maker Policy Making Population Prevention Prevention program Prevention strategy Process Production Provider Public Health Publishing Quality-Adjusted Life Years Request for Proposals Research Research Personnel Resource Allocation Resources Risk Behaviors Savings Services Severities Societies Substance abuse problem Translating United States Work Writing antiretroviral therapy base cost cost effectiveness economic evaluation economic outcome mathematical model mortality prevent programs scale up substance abuse prevention substance abuse treatment symposium treatment planning treatment program treatment strategy

项目摘要

DESCRIPTION (provided by applicant): The severity of the HIV epidemic and limits on prevention and treatment resources have forced planners and providers to make difficult choices about which interventions to implement to prevent and treat HIV and substance abuse. The goal of our project is to evaluate existing and potential HIV and substance abuse interventions to provide critical information on effectiveness, public-health impact, and efficiency. This project aims to promote reasoned planning and policy making in the realm of HIV and substance abuse prevention and treatment via the development of mathematical and economic models. To achieve this goal, we have the following specific aims: 1. To estimate production functions that characterize the relationship between program expenditures and health outcomes, such as reductions in risky behaviors for prevention programs and delivery of services for treatment programs 2. To develop model-based methods of translating the behavioral impact of HIV-related interventions into epidemiologically meaningful outcome measures, such as years of life saved. 3. To determine how best to estimate health outcomes, economic outcomes, and cost effectiveness of HIV and substance abuse interventions. 4. To assess the effectiveness and cost-effectiveness of specific interventions aimed at preventing and treating HIV and substance abuse. 5. To inform the allocation of societal resources by examining the effectiveness and cost effectiveness of portfolios of prevention and treatment interventions. This work includes analyzing national and international HIV prevention and treatment strategies, and assessing how to balance HIV prevention and treatment interventions to achieve the greatest health benefit. 6. To examine the relationship between policy modeling and public health decision making in the areas of HIV and substance abuse - in particular, to explore how to make analyses most useful to policy makers. The proposed research will advance the state of the art in HIV planning and policy modeling, critically evaluate promising interventions, and help provide the scientific foundation for allocation of scarce resources to portfolios of HIV and substance abuse prevention and treatment interventions.

描述（由申请人提供）：艾滋病毒流行病的严重性以及对预防和治疗资源的限制迫使计划者和提供者在预防和治疗艾滋病毒和药物滥用方面做出艰难的选择。我们项目的目的是评估现有和潜在的艾滋病毒和药物滥用干预措施，以提供有关有效性，公共卫生影响和效率的关键信息。该项目旨在通过发展数学和经济模型来促进艾滋病毒和滥用毒品滥用和治疗领域的合理计划和政策制定。为了实现这一目标，我们具有以下具体目的：1。估计生产功能来表征计划支出和健康成果之间关系的关系，例如减少预防计划的风险行为和治疗计划的服务2。开发基于模型的方法来将与HIV相关的干预措施的行为影响转化为具有意义上有意义的结果的生命，例如，均能衡量年度的寿命。 3。确定如何最好地估计艾滋病毒和药物滥用干预措施的健康结果，经济成果以及成本效益。 4。评估旨在预防和治疗艾滋病毒和药物滥用的特定干预措施的有效性和成本效益。 5。通过检查预防和治疗干预措施的效力和成本效益来告知社会资源的分配。这项工作包括分析国家和国际艾滋病毒的预防和治疗策略，以及评估如何平衡艾滋病毒预防和治疗干预措施以实现最大的健康益处。 6。检查艾滋病毒和滥用毒品领域的政策建模与公共卫生决策之间的关系 - 特别是探索如何对政策制定者最有用的分析。拟议的研究将推进艾滋病毒计划和政策建模中的最新技术，对有希望的干预措施进行严格评估，并为将稀缺资源分配给艾滋病毒和预防药物滥用和治疗干预措施提供科学基础。