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- Title
Measuring Costs to Community-Based Agencies for Implementation of an Evidence-Based Practice.
- Authors
Lang, Jason; Connell, Christian; Lang, Jason M; Connell, Christian M
- Abstract
Healthcare reform has led to an increase in dissemination of evidence-based practices. Cost is frequently cited as a significant yet rarely studied barrier to dissemination of evidence-based practices and the associated improvements in quality of care. This study describes an approach to measuring the incremental, unreimbursed costs in staff time and direct costs to community-based clinics implementing an evidence-based practice through participating in a learning collaborative. Initial implementation costs exceeding those for providing "treatment as usual" were collected for ten clinics implementing trauma-focused cognitive behavioral therapy through participation in 10-month learning collaboratives. Incremental implementation costs of these ten community-based clinic teams averaged the equivalent of US$89,575 (US$ 2012). The most costly activities were training, supervision, preparation time, and implementation team meetings. Recommendations are made for further research on implementation costs, dissemination of evidence-based practices, and implications for researchers and policy makers.
- Subjects
MEDICARE cost control; COMMUNITY-based clinical trials; EVIDENCE-based nursing; IMPLEMENTATION (Social action programs); MEDICAL care; WOUNDS &; injuries; MENTAL health; CLINICS; EVIDENCE-based medicine; COGNITIVE therapy; PRIMARY health care; COST analysis; PROFESSIONAL practice; ECONOMICS
- Publication
Journal of Behavioral Health Services & Research, 2017, Vol 44, Issue 1, p122
- ISSN
1094-3412
- Publication type
journal article
- DOI
10.1007/s11414-016-9541-8