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Costs of alcohol screening and brief intervention in medical settings: a review of the literature

, : Costs of alcohol screening and brief intervention in medical settings: a review of the literature. Journal of Studies on Alcohol and Drugs 73(6): 911-919

This article summarizes the literature on the implementation costs of alcohol screening and brief intervention (SBI) in medical settings. Electronic databases were searched using SBI- and cost-related terms. Methodological approaches and cost estimates were abstracted from each study and categorized based on the cost methodology. Costs were updated to 2009 U.S. dollars. To determine a summary cost measure, we excluded outliers and computed the median of the remaining cost estimates. Seventeen studies with cost estimates were identified for further study. Costs ranged from $0.51 to $601.50 per screen and from $3.41 to $243.01 per brief intervention (BI). Cost estimates were lower when an activity-based cost methodology was used, in primary care settings, and when the provider was not a doctor. The median summary cost of a screen is approximately $4, and the median summary cost of a BI is approximately $48. Screening cost estimates had more variation than BI cost estimates. Provider type and service delivery time drive the cost variation. Interpretation of cost differences was limited by insufficient reporting of the cost methodology. Cost estimates presented here are similar in size to the Healthcare Common Procedure Coding System and Current Procedural Terminology reimbursement amounts, suggesting that insurance-based service reimbursement may be sufficient to sustain alcohol SBI in practice.


PMID: 23036208

Other references

Goresline, H.E.; Bartram, M.T.; Berry, J.A.; Cameron, E.J.; Etchells, J.L.; Fuller, J.E.; Highlands, M.E.; Jensen, L.B.; Pederson, C.S.; Prickett, P.S.; Sharf, J.M.; Wheaton, E.; Williams, O.B., 1943: Report of the Committee on Microbiological Examination of Foods (Microbiological Examination of Spices, Fermented Foods, and Fruit Juices): Food and Nutrition Section. American Journal of Public Health and the Nation's Health 33(6): 725-728

Jairath,J.; Ballabh,V., 2008: Droughts and integrated water resources management in South Asia issues, alternatives and futures. This book examines the concept and origin of drought in South Asia. It aims to: (1) understand the concept of drought; (2) map the diversity in drought situations across South Asia; (3) identify responses to drought; (4) outline viable options for...

Orlowski S., 1978: The Silurian, 430-400 million years. Pages 108-133 1978

Adachi, M.; Fukuda, M.; Nishida, E., 1999: Two co-existing mechanisms for nuclear import of MAP kinase: passive diffusion of a monomer and active transport of a dimer. In response to extracellular stimuli, mitogen-activated protein kinase (MAPK, also known as ERK) translocates from the cytoplasm to the nucleus. MAP kinase kinase (MAPKK, also know as MEK), which possesses a nuclear export signal (NES), acts as a...

Takeda, S.; Ichii, S.; Nakamura, Y., 1993: Detection of K-ras mutation in sputum by mutant-allele-specific amplification (MASA). From 10 to 30% of lung carcinomas examined to date contain mutant K-ras genes. We report here that the mutant-allele-specific amplification (MASA) method may be useful for detection of the K-ras mutations in cells obtained from the sputum of patie...

Dasgupta, J.; Bisht, D.B.; Sankaran, K., 1978: A familial trisomy of G-group with dermatoglyphic patterns. Journal of the Association of Physicians of India 26(8): 715-719

Deshmukh S.G.; Dahiphale V.V.; Chavan D.A., 1989: Performance of summer maize forage in relation to different nitrogen and irrigation levels. Journal of Maharashtra Agricultural Universities 14(1): 119-120

Bedo, S.; Barcsak Toth, G.; Poti, P., 1996: Feed intake and feed utilisation for milk production by ewes of various genotype. Feed intake and milk yield were studied in ewes of the Hungarian Merino, Hungarian Merino x East Friesian and Black-Headed Pleven breeds from early May to late July. The ration comprised a concentrate (0.6 kg/head [daily]) and grass. Grass intake...

Madlon-Kay, D.J., 1989: When family practice residents are parents: effect on in-training examination scores. This study examines the effect of parenthood on family practice residents' knowledge of pediatrics by evaluating their performance on the pediatric portion of the American Board of Family Practice in-training examination. The 1986 examination...

Flamm, M.; O'neill, D.; Bank, A., 1995: A non-functional GATA-1 site at the 3 end of human beta globin IVS2. Blood 86(10 SUPPL 1): 647A