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Estimated cost of comprehensive syringe service program in the United States
OBJECTIVE: To estimate the cost of establishing and operating a comprehensive syringe service program (SSP) free to clients in the United States. METHODS: We identified the major cost components of a comprehensive SSP: (one-time start-up cost, and annual costs associated with personnel, operations,...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485753/ https://www.ncbi.nlm.nih.gov/pubmed/31026295 http://dx.doi.org/10.1371/journal.pone.0216205 |
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author | Teshale, Eyasu H. Asher, Alice Aslam, Maria V. Augustine, Ryan Duncan, Eliana Rose-Wood, Alyson Ward, John Mermin, Jonathan Owusu-Edusei, Kwame Dietz, Patricia M. |
author_facet | Teshale, Eyasu H. Asher, Alice Aslam, Maria V. Augustine, Ryan Duncan, Eliana Rose-Wood, Alyson Ward, John Mermin, Jonathan Owusu-Edusei, Kwame Dietz, Patricia M. |
author_sort | Teshale, Eyasu H. |
collection | PubMed |
description | OBJECTIVE: To estimate the cost of establishing and operating a comprehensive syringe service program (SSP) free to clients in the United States. METHODS: We identified the major cost components of a comprehensive SSP: (one-time start-up cost, and annual costs associated with personnel, operations, and prevention/medical services) and estimated the anticipated total costs (2016 US dollars) based on program size (number of clients served each year) and geographic location of the service (rural, suburban, and urban). RESULTS: The estimated costs ranged from $0.4 million for a small rural SSP (serving 250 clients) to $1.9 million for a large urban SSP (serving 2,500 clients), of which 1.6% and 0.8% is the start-up cost of a small rural and large urban SSP, respectively. Cost per syringe distributed varied from $3 (small urban SSP) to $1 (large rural SSP), and cost per client per year varied from $2000 (small urban SSP) to $700 (large rural SSP). CONCLUSIONS: Estimates of the cost of SSPs in the United States vary by number of clients served and geographic location of service. Accurate costing can be useful for planning programs, developing policy, allocating funds for establishing and supporting SSPs, and providing data for economic evaluation of SSPs. |
format | Online Article Text |
id | pubmed-6485753 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-64857532019-05-09 Estimated cost of comprehensive syringe service program in the United States Teshale, Eyasu H. Asher, Alice Aslam, Maria V. Augustine, Ryan Duncan, Eliana Rose-Wood, Alyson Ward, John Mermin, Jonathan Owusu-Edusei, Kwame Dietz, Patricia M. PLoS One Research Article OBJECTIVE: To estimate the cost of establishing and operating a comprehensive syringe service program (SSP) free to clients in the United States. METHODS: We identified the major cost components of a comprehensive SSP: (one-time start-up cost, and annual costs associated with personnel, operations, and prevention/medical services) and estimated the anticipated total costs (2016 US dollars) based on program size (number of clients served each year) and geographic location of the service (rural, suburban, and urban). RESULTS: The estimated costs ranged from $0.4 million for a small rural SSP (serving 250 clients) to $1.9 million for a large urban SSP (serving 2,500 clients), of which 1.6% and 0.8% is the start-up cost of a small rural and large urban SSP, respectively. Cost per syringe distributed varied from $3 (small urban SSP) to $1 (large rural SSP), and cost per client per year varied from $2000 (small urban SSP) to $700 (large rural SSP). CONCLUSIONS: Estimates of the cost of SSPs in the United States vary by number of clients served and geographic location of service. Accurate costing can be useful for planning programs, developing policy, allocating funds for establishing and supporting SSPs, and providing data for economic evaluation of SSPs. Public Library of Science 2019-04-26 /pmc/articles/PMC6485753/ /pubmed/31026295 http://dx.doi.org/10.1371/journal.pone.0216205 Text en https://creativecommons.org/publicdomain/zero/1.0/ This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication. |
spellingShingle | Research Article Teshale, Eyasu H. Asher, Alice Aslam, Maria V. Augustine, Ryan Duncan, Eliana Rose-Wood, Alyson Ward, John Mermin, Jonathan Owusu-Edusei, Kwame Dietz, Patricia M. Estimated cost of comprehensive syringe service program in the United States |
title | Estimated cost of comprehensive syringe service program in the United States |
title_full | Estimated cost of comprehensive syringe service program in the United States |
title_fullStr | Estimated cost of comprehensive syringe service program in the United States |
title_full_unstemmed | Estimated cost of comprehensive syringe service program in the United States |
title_short | Estimated cost of comprehensive syringe service program in the United States |
title_sort | estimated cost of comprehensive syringe service program in the united states |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485753/ https://www.ncbi.nlm.nih.gov/pubmed/31026295 http://dx.doi.org/10.1371/journal.pone.0216205 |
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