IDEAS home Printed from https://ideas.repec.org/a/spr/joptap/v128y2006i2d10.1007_s10957-006-9016-9.html
   My bibliography  Save this article

Dynamic Cost-Benefit Analysis of Drug Substitution Programs

Author

Listed:
  • J. P. Caulkins

    (Carnegie Mellon University)

  • G. Feichtinger

    (Vienna University of Technology)

  • C. Gavrila

    (University of Rome – Tor Vergata)

  • A. Greiner

    (Bielefeld University)

  • J. L. Haunschmied

    (Tilburg University)

  • P. M. Kort

    (Vienna University of Technology)

  • G. Tragler

    (Vienna University of Technology)

Abstract

This paper studies optimal spending for drug substitution programs in the context of a dynamic epidemic model of both drug use and drug use-related infections. Two types of costs are considered in addition to control costs: social costs resulting from individuals being dependent on drugs; additional costs due to drug users being vulnerable to infections like hepatitis C or HIV. Analysis of the model demonstrates that the long-run equilibrium is not necessarily unique. Instead, there may be multiple equilibria. Which of these equilibria is optimal depends on the initial conditions for the number of drug addicts and the number of those who are infected. So, for a given set of epidemic parameters, it may be optimal to spend a lot on substitution programs that reduce the number of drug addicts or to spend little and to accept a high level of drug use.

Suggested Citation

  • J. P. Caulkins & G. Feichtinger & C. Gavrila & A. Greiner & J. L. Haunschmied & P. M. Kort & G. Tragler, 2006. "Dynamic Cost-Benefit Analysis of Drug Substitution Programs," Journal of Optimization Theory and Applications, Springer, vol. 128(2), pages 279-294, February.
    • Handle: RePEc:spr:joptap:v:128:y:2006:i:2:d:10.1007_s10957-006-9016-9
    DOI: 10.1007/s10957-006-9016-9
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10957-006-9016-9
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10957-006-9016-9?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. M. Kurz, 1971. "The General Instability of a Class of Competitive Growth Processes," Palgrave Macmillan Books, in: F. H. Hahn (ed.), Readings in the Theory of Growth, chapter 17, pages 218-237, Palgrave Macmillan.
    2. W. Davis Dechert & Kazuo Nishimura, 2012. "A Complete Characterization of Optimal Growth Paths in an Aggregated Model with a Non-Concave Production Function," Springer Books, in: John Stachurski & Alain Venditti & Makoto Yano (ed.), Nonlinear Dynamics in Equilibrium Models, edition 127, chapter 0, pages 237-257, Springer.
    3. Skiba, A K, 1978. "Optimal Growth with a Convex-Concave Production Function," Econometrica, Econometric Society, vol. 46(3), pages 527-539, May.
    4. Harold A. Pollack, 2001. "Cost-effectiveness of Harm Reduction in Preventing Hepatitis C among Injection Drug Users," Medical Decision Making, , vol. 21(5), pages 357-367, October.
    5. Doris A. Behrens & Jonathan P. Caulkins & Gernot Tragler & Gustav Feichtinger, 2000. "Optimal Control of Drug Epidemics: Prevent and Treat---But Not at the Same Time?," Management Science, INFORMS, vol. 46(3), pages 333-347, March.
    6. Gernot Tragler & Jonathan P. Caulkins & Gustav Feichtinger, 2001. "Optimal Dynamic Allocation of Treatment and Enforcement in Illicit Drug Control," Operations Research, INFORMS, vol. 49(3), pages 352-362, June.
    7. Gavrila, C. & Pollack, H.A. & Caulkins, J. & Kort, P.M. & Feichtinger, G. & Tragler, G., 2002. "Optimal control of harm reduction in preventing HIV and Hepatitis C among drug users," Other publications TiSEM e24ed287-80f6-48b2-947f-5, Tilburg University, School of Economics and Management.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Herbert Dawid & Engelbert Dockner & Richard Hartl & Josef Haunschmied & Ulrike Leopold-Wildburger & Mikulas Luptacik & Alexander Mehlmann & Alexia Prskawetz & Marion Rauner & Gerhard Sorger & Gernot T, 2010. "Gustav Feichtinger celebrates his 70th birthday," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 18(4), pages 437-451, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Zeiler, I. & Caulkins, J.P. & Tragler, G., 2011. "Optimal control of interacting systems with DNSS property: The case of illicit drug use," Journal of Economic Behavior & Organization, Elsevier, vol. 78(1), pages 60-73.
    2. I. Zeiler & J.P. Caulkins & G. Tragler, 2011. "Optimal Control of Interacting Systems with DNSS Property: The Case of Illicit Drug Use," Post-Print hal-00978258, HAL.
    3. Zeiler, I. & Caulkins, J.P. & Tragler, G., 2011. "Optimal control of interacting systems with DNSS property: The case of illicit drug use," Journal of Economic Behavior & Organization, Elsevier, vol. 78(1-2), pages 60-73, April.
    4. J. P. Caulkins & G. Feichtinger & D. Grass & G. Tragler, 2007. "Bifurcating DNS Thresholds in a Model of Organizational Bridge Building," Journal of Optimization Theory and Applications, Springer, vol. 133(1), pages 19-35, April.
    5. Levy, Amnon & Neri, Frank & Grass, Dieter, 2006. "Macroeconomic Aspects Of Substance Abuse: Diffusion, Productivity And Optimal Control," Macroeconomic Dynamics, Cambridge University Press, vol. 10(2), pages 145-164, April.
    6. Tatiana Kiseleva & Florian Wagener, 2015. "Bifurcations of Optimal Vector Fields," Mathematics of Operations Research, INFORMS, vol. 40(1), pages 24-55, February.
    7. Akao, Ken-Ichi & Kamihigashi, Takashi & Nishimura, Kazuo, 2011. "Monotonicity and continuity of the critical capital stock in the Dechert–Nishimura model," Journal of Mathematical Economics, Elsevier, vol. 47(6), pages 677-682.
    8. Behrens, Doris A. & Caulkins, Jonathan P. & Tragler, Gernot & Feichtinger, Gustav, 2002. "Why present-oriented societies undergo cycles of drug epidemics," Journal of Economic Dynamics and Control, Elsevier, vol. 26(6), pages 919-936, June.
    9. Yegorov, Yury & Wirl, Franz & Grass, Dieter & Eigruber, Markus & Feichtinger, Gustav, 2022. "On the matthew effect on individual investments in skills in arts, sports and science," Journal of Economic Behavior & Organization, Elsevier, vol. 196(C), pages 178-199.
    10. Azariadis, Costas & Stachurski, John, 2005. "Poverty Traps," Handbook of Economic Growth, in: Philippe Aghion & Steven Durlauf (ed.), Handbook of Economic Growth, edition 1, volume 1, chapter 5, Elsevier.
    11. Dawid, Herbert & Kopel, Michael, 1997. "On the Economically Optimal Exploitation of a Renewable Resource: The Case of a Convex Environment and a Convex Return Function," Journal of Economic Theory, Elsevier, vol. 76(2), pages 272-297, October.
    12. Francesco Bartaloni, 2021. "Existence of the Optimum in Shallow Lake Type Models with Hysteresis Effect," Journal of Optimization Theory and Applications, Springer, vol. 190(2), pages 358-392, August.
    13. Wagener, F.O.O., 2005. "Structural analysis of optimal investment for firms with non-concave revenue," Journal of Economic Behavior & Organization, Elsevier, vol. 57(4), pages 474-489, August.
    14. Brito, Paulo B. & Costa, Luís F. & Dixon, Huw, 2013. "Non-smooth dynamics and multiple equilibria in a Cournot–Ramsey model with endogenous markups," Journal of Economic Dynamics and Control, Elsevier, vol. 37(11), pages 2287-2306.
    15. Wirl, Franz, 2009. "OPEC as a political and economical entity," European Journal of Political Economy, Elsevier, vol. 25(4), pages 399-408, December.
    16. Wagener, F.O.O., 2013. "Economics of environmental regime shifts," CeNDEF Working Papers 13-08, Universiteit van Amsterdam, Center for Nonlinear Dynamics in Economics and Finance.
    17. G. Feichtinger & A. Steindl, 2006. "DNS Curves in a Production/Inventory Model," Journal of Optimization Theory and Applications, Springer, vol. 128(2), pages 295-308, February.
    18. Feichtinger, Gustav & Grass, Dieter & Kort, Peter M. & Seidl, Andrea, 2021. "On the Matthew effect in research careers," Journal of Economic Dynamics and Control, Elsevier, vol. 123(C).
    19. Ha-Huy, Thai & Tran, Nhat Thien, 2020. "A simple characterisation for sustained growth," Journal of Mathematical Economics, Elsevier, vol. 91(C), pages 141-147.
    20. Benchekroun, Hassan, 2008. "Comparative dynamics in a productive asset oligopoly," Journal of Economic Theory, Elsevier, vol. 138(1), pages 237-261, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:joptap:v:128:y:2006:i:2:d:10.1007_s10957-006-9016-9. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.