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Titolo:
LENGTH OF STAY AS AN OUTCOME IN AN ERA OF MANAGED CARE - AN EMPIRICAL-STUDY
Autore:
SHWARTZ M; MULVEY KP; WOODS D; BRANNIGAN P; PLOUGH A;
Indirizzi:
BOSTON UNIV,SCH MANAGEMENT,595 COMMONWEALTH AVE BOSTON MA 02215 BOSTON DEPT HLTH & HOSP,INST URBAN HLTH POLICY & RES BOSTON MA 00000 BOSTON DEPT HLTH & HOSP,BOSTON OFF TREATMENT IMPROVEMENT BOSTON MA 00000 BOSTON UNIV,MED CTR,SCH PUBL HLTH,DATA COORDINATING CTR BOSTON MA 00000 BOSTON DEPT HLTH & HOSP,DEPT PUBL HLTH BOSTON MA 00000
Titolo Testata:
Journal of substance abuse treatment
fascicolo: 1, volume: 14, anno: 1997,
pagine: 11 - 18
SICI:
0740-5472(1997)14:1<11:LOSAAO>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
DRUG-ABUSE TREATMENT; THERAPEUTIC COMMUNITIES; TIME SPENT;
Keywords:
SUBSTANCE ABUSE TREATMENT OUTCOMES; LENGTH OF STAY; MANAGED CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Citazioni:
11
Recensione:
Indirizzi per estratti:
Citazione:
M. Shwartz et al., "LENGTH OF STAY AS AN OUTCOME IN AN ERA OF MANAGED CARE - AN EMPIRICAL-STUDY", Journal of substance abuse treatment, 14(1), 1997, pp. 11-18

Abstract

Longer length of stay (LOS) in substance abuse treatment, a standard measure of treatment success, conflicts with pressures from managed care. To maintain LOS as an outcome, we identified for four modalities, LOS categories such that program completion rates were relatively constant within category and differed among categories. We validated the cutoffs by showing that future utilization over a 2-year period by clients differed by category. Clients in the long-LOS category used the system in a way consistent with more successful treatment. Thus, rather than using increase in LOS as an outcome, one can use increase in the percentage of clients reaching the long-LOS category. Categories were developed and utilization analyzed for discharges from publicly fundedBoston treatment programs between 1/92 and 12/94 from the following modalities: short-term residential (5,462 discharges), long-term residential (5,086 discharges), outpatient (13,656 discharges), and deter (19,965 discharges). (C) 1997 Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 12:36:38