Document Detail

Costs of alcohol screening and brief intervention in medical settings: a review of the literature.
MedLine Citation:
PMID:  23036208     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This article summarizes the literature on the implementation costs of alcohol screening and brief intervention (SBI) in medical settings.
METHOD: 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.
RESULTS: 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.
CONCLUSIONS: 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.
Jeremy W Bray; Gary A Zarkin; Jesse M Hinde; Michael J Mills
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review    
Journal Detail:
Title:  Journal of studies on alcohol and drugs     Volume:  73     ISSN:  1938-4114     ISO Abbreviation:  J Stud Alcohol Drugs     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-05     Completed Date:  2013-01-11     Revised Date:  2013-11-05    
Medline Journal Info:
Nlm Unique ID:  101295847     Medline TA:  J Stud Alcohol Drugs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  911-9     Citation Subset:  IM    
RTI International, Research Triangle Park, North Carolina.
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MeSH Terms
Alcoholism / economics*,  therapy
Cost-Benefit Analysis / methods,  statistics & numerical data
Health Care Costs / statistics & numerical data*
Primary Health Care / economics*
Psychotherapy, Brief / economics*
Substance Abuse Detection / economics*
United States
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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