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Integrated treatment program for alcohol related problems in community hospitals, Songkhla province of Thailand: A social return on investment analysis

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  • Athip Tanaree
  • Sawitri Assanangkornchai
  • Wanrudee Isaranuwatchai
  • Kednapa Thavorn
  • Peter C Coyte

Abstract

Objectives: To estimate the impacts and social value relative to the cost of the Integrated Management of Alcohol Intervention Program in the Health Care System (i-MAP) on direct beneficiaries, using a Social Return on Investment (SROI) analysis. Method: A mixed-method approach was conducted among stakeholders and 113 drinkers (29 low-risk, 43 high-risk, and 41 dependent drinkers) who consecutively received i-MAP at four community hospitals in Songkhla province of Thailand. Resources for program implementation as well as drinking and a list of psychosocial outcomes, selected through stakeholder interviews, were measured among participants during and at the sixth month after participation, respectively. SROI (societal benefit-to-cost) ratio of i-MAP was estimated over a 5-year time horizon and shown in 2017 Thai baht, where US$1.00 = 33.1 baht. One-way and probabilistic sensitivity analyses of key parameters were performed among treatment subgroups. Results: Baseline estimates of the annual cost and 5-year social value of i-MAP were 25.5 and 51.0 million baht, respectively, yielding an estimated SROI ratio of 2.0, with a possible range of 1.3 to 2.4. Value created by the program was mostly attributed to broader gains to society (productivity gains and averted crime costs) and drinkers. Subgroup analyses suggested that the SROI ratio for high-risk drinkers was twice that for dependent drinkers (2.8 vs. 1.5). The probabilistic sensitivity analysis showed that more than 99% of the simulated treatments for both high-risk and dependent groups yielded benefits beyond the corresponding costs. Conclusions: By considering societal perspective, the i-MAP program has demonstrated its social value is twice its investment cost and potential for the program to be implemented nationwide.

Suggested Citation

  • Athip Tanaree & Sawitri Assanangkornchai & Wanrudee Isaranuwatchai & Kednapa Thavorn & Peter C Coyte, 2019. "Integrated treatment program for alcohol related problems in community hospitals, Songkhla province of Thailand: A social return on investment analysis," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-20, January.
    • Handle: RePEc:plo:pone00:0209210
    DOI: 10.1371/journal.pone.0209210
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    References listed on IDEAS

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    1. Thomas S. Dee, 2001. "Alcohol abuse and economic conditions: Evidence from repeated cross‐sections of individual‐level data," Health Economics, John Wiley & Sons, Ltd., vol. 10(3), pages 257-270, April.
    2. Ross Millar & Kelly Hall, 2013. "Social Return on Investment (SROI) and Performance Measurement," Public Management Review, Taylor & Francis Journals, vol. 15(6), pages 923-941, September.
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