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Online LearningWeb Portal, Teaching Resource 2018Course: The Opioid Crisis in America
This self-paced online course from HarvardX challenges preconceptions about addiction and about who can become …
This self-paced online course from HarvardX challenges preconceptions about addiction and about who can become addicted to opioids, which are part of a drug class that includes heroin as well as pain relievers such as oxycodone, hydrocodone, morphine, codeine, fentanyl, and others. Students learn about the origins and spread of opioid use, misuse, and addiction. The course covers the appropriate ways in which prescription opioid drugs can be used to treat specific pain conditions, and…
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ReportPublication 2015Opioid Dependence: Final Report
This report from the Institute for Clinical and Economic Review (ICER) examines the comparative effectiveness and value …
This report from the Institute for Clinical and Economic Review (ICER) examines the comparative effectiveness and value of interventions for the management of opioid dependence. The goals of the report are to document the federal and New England state regulations affecting treatment options, provide an overview of existing clinical guidelines and payer coverage policies, and summarize the evidence on the different management approaches for opioid dependence, including special considerations for adolescents. An appendix is provided by ICER.…
Preferences/Values | Health Outcomes | Evidence Synthesis | Cost-Effectiveness Analysis | Technology Assessment | Chronic Disease/Risk | Mental Health | Health Systems | Policy/Regulation | Business/Industry | Government/Law | Health/Medicine | Science/Technology | North America -
ReviewPublication 2017Quality of Life as an Outcome of Opioid Use Disorder Treatment
The recent opioid epidemic has prompted renewed interest in opioid use disorder treatment, but there …
The recent opioid epidemic has prompted renewed interest in opioid use disorder treatment, but there is little evidence regarding health-related quality-of-life (HRQoL) outcomes in treatment programs. Measuring HRQoL represents an opportunity to consider outcomes of opioid use disorder treatment that are more patient-centered and more relevant to overall health than abstinence alone. This systematic literature review explores the extent to which the collection of HRQoL by opioid treatment programs is documented in the treatment program literature.…
Preferences/Values | Health Outcomes | Evidence Synthesis | Chronic Disease/Risk | Mental Health | Social Determinants | Health Systems | Economics/Finance | Health/Medicine -
ArticlePublication 2016Measuring Benefits of Opioid Misuse Treatment: HRQOL of Opioid-Dependent Individuals and Spouses
This study sought to understand how the general public views the quality of life effects …
This study sought to understand how the general public views the quality of life effects of opioid misuse and opioid use disorder on an individual and his/her spouse, measured in terms used in economic evaluations. The study design was a cross-sectional internet survey of a US population-representative respondent panel conducted December 2013-January 2014, with a total of 2054 randomly selected adults, of whom 51.1% were male. The mean individual utility ranged from 0.574 for active injection…
Preferences/Values | Health Outcomes | Chronic Disease/Risk | Mental Health | Economics/Finance | Health/Medicine | North America -
ArticlePublication 2017Joint Utility Estimators in Substance Use Disorders
Although co-occurring conditions are common with substance use disorders, estimation methods for joint health state …
Although co-occurring conditions are common with substance use disorders, estimation methods for joint health state utilities have not yet been tested in this context. The objective of this paper was to compare joint health state utility estimators in substance use disorders to inform economic evaluation. The authors conducted two Internet-based surveys of US adults to collect community perspective standard gamble utilities for substance use disorders and common co-occurring conditions. They evaluated six conditions as they occur individually…
Preferences/Values | Evidence Synthesis | Chronic Disease/Risk | Mental Health | Health/Medicine | North America -
ArticlePublication 2015Short Term HRQoL Improvement during Opioid Agonist Treatment
Opioid dependence is associated with high levels of morbidity, yet sparse data exists regarding the …
Opioid dependence is associated with high levels of morbidity, yet sparse data exists regarding the health-related quality of life (HRQoL) of individuals with opioid dependence, particularly following treatment initiation. To inform cost-effectiveness analyses of treatment modalities, this study investigates short-term changes in HRQoL following enrollment into opioid agonist treatment, across treatment modalities and patient subgroups. Data was analyzed from the Starting Treatment with Agonist Replacement Therapies (START) and Prescription Opioid Addiction Treatment Studies (POATS) randomized…
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ArticlePublication 2013Cost-Effectiveness of Injectable Opioid vs. Oral Methadone for Chronic Heroin Addiction
Despite evidence of the effectiveness of injectable opioid treatment compared with oral methadone for chronic …
Despite evidence of the effectiveness of injectable opioid treatment compared with oral methadone for chronic heroin addiction, the additional cost of injectable treatment is considerable, and cost-effectiveness uncertain. This analysis compares the cost-effectiveness of supervised injectable heroin and injectable methadone with optimized oral methadone for chronic refractory heroin addiction using data from a multisite, open-label, randomized controlled trial. Outcomes were assessed in terms of quality-adjusted life-years (QALYs). The economic perspective included health, social services and criminal…
Preferences/Values | Costing Methods | Cost-Effectiveness Analysis | Chronic Disease/Risk | Mental Health | Health Systems | Policy/Regulation | Economics/Finance | Government/Law | Health/Medicine | Europe -
ReportPublication 2017Economic Value of Informal Mental Health Caring
Caregivers, family and friends play a significant role in supporting people with mental illness, and …
Caregivers, family and friends play a significant role in supporting people with mental illness, and it has long been recognized that informal carers constitute a significant ‘hidden’ workforce in Australia. Faced as Australia is with an ageing population and burgeoning chronic disease, data on the contribution that carers make and the consequent savings to governments and other ‘payers’ need to be articulated. This report attempts to put a ‘value’ on informal caring for those with mental illness.…
Preferences/Values | Costing Methods | Health Outcomes | Benefit-Cost Analysis | Cost-Effectiveness Analysis | Chronic Disease/Risk | Mental Health | Health Systems | Economics/Finance | Health/Medicine | Oceania -
ReportPublication 2017Underestimated Cost of the Opioid Crisis
This report on the opioid public health crisis was released by the White House Council …
This report on the opioid public health crisis was released by the White House Council on Economic Advisors (CEA) in November 2017. It corrects previous estimates of related costs by adding the value of the associated deaths. Earlier estimates focused on medical and other expenditures, while the new report also includes estimates of the value that individuals place on reducing their own risks of premature mortality. The report notes that, in 2015, over 33,000 Americans…
Preferences/Values | Costing Methods | Benefit-Cost Analysis | Chronic Disease/Risk | Mental Health | Policy/Regulation | Economics/Finance | Government/Law | Health/Medicine | North America -
Lesson/ModuleWeb Portal, Teaching Resource 2017NY Times: Investigating the Heroin and Prescription Opioid Epidemic
This lesson plan produced by The New York Times focuses on the heroin and prescription …
This lesson plan produced by The New York Times focuses on the heroin and prescription opioid epidemics in the United States. Focusing on statistics, social issues, and health, the lesson plan offers discussion questions, activities, and resources for further learning.
Preferences/Values | Health Outcomes | Chronic Disease/Risk | Mental Health | Health Systems | Policy/Regulation | Government/Law | Health/Medicine | North America | High School | College | Critical Thinking/Analysis | Graphics/Visualization
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