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Titolo:
Linkage to medical services in the drug abuse treatment outcome study
Autore:
Friedmann, PD; Lemon, SC; Stein, MD; Etheridge, RM; DAunno, TA;
Indirizzi:
Rhode Isl Hosp, Dept Med, Div Gen Internal Med, Providence, RI 02903 USA Rhode Isl Hosp Providence RI USA 02903 rnal Med, Providence, RI 02903 USA Brown Univ, Sch Med, Dept Med, Div Gen Internal Med, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 Internal Med, Providence, RI 02912 USA Brown Univ, Sch Med, Dept Community Hlth, Div Gen Internal Med, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 Internal Med, Providence, RI 02912 USA Natl Dev & Res Inst Inc, Raleigh, NC USA Natl Dev & Res Inst Inc Raleigh NC USA v & Res Inst Inc, Raleigh, NC USA Univ Chicago, Dept Hlth Studies, Chicago, IL 60637 USA Univ Chicago Chicago IL USA 60637 ept Hlth Studies, Chicago, IL 60637 USA Univ Chicago, Sch Social Serv Adm, Chicago, IL 60637 USA Univ Chicago Chicago IL USA 60637 Social Serv Adm, Chicago, IL 60637 USA
Titolo Testata:
MEDICAL CARE
fascicolo: 3, volume: 39, anno: 2001,
pagine: 284 - 295
SICI:
0025-7079(200103)39:3<284:LTMSIT>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY-CARE SERVICES; CASE-MANAGEMENT; ADDICTION TREATMENT; PSYCHOSOCIAL SERVICES; PROGRAM; HEALTH; DATOS; AMERICANS; ACCESS; MODEL;
Keywords:
drug abuse treatment units; substance dependence; delivery of health care; health services needs and demands; case management; transportation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
60
Recensione:
Indirizzi per estratti:
Indirizzo: Friedmann, PD Rhode Isl Hosp, Dept Med, Div Gen Internal Med, 593 Eddy St,Providence, RI 02903 USA Rhode Isl Hosp 593 Eddy St Providence RI USA 02903 02903 USA
Citazione:
P.D. Friedmann et al., "Linkage to medical services in the drug abuse treatment outcome study", MED CARE, 39(3), 2001, pp. 284-295

Abstract

BACKGROUND. An episode of substance abuse treatment is an opportunity to link substance-abusing patients to medical care at a time when management ofmedical problems might stabilize recovery and long-term health. However, little is known about the ability of organizational linkage mechanisms to facilitate the delivery of medical. care to this population. OBJECTIVES. The goal of this study was to examine whether organizational linkage mechanisms facilitate medical service utilization in drug abuse treatment programs. RESEARCH DESIGN. This was a prospective secondary analysis of the Drug Abuse Treatment Outcome Study, a national longitudinal study of drug abuse treatment programs and their patients from 1991 to 1993, Hierarchical linear models evaluated the effect of on-site delivery, formal and informal referral, case management emphasis, and transportation on the log-transformed number of medical visits at the 1-month in-treatment patient interview. MEASURES. Program directors' surveys provided organizational information, including the linkage mechanism used to deliver medical care. Patients reported the number of medical visits during the first month of drug abuse treatment. RESULTS. Exclusive on-site delivery increased medical utilization during the first month of drug abuse treatment (beta estimate, 0.22; standard error[SE], 0.06; P <0.001). Transportation services also increased 1-month medical utilization (<beta> estimate, 0.13; SE, 0.03; P <0,001),CONCLUSIONS. Exclusive on-site delivery of medical services increased drugabuse treatment patients' utilization of medical services in the first month of treatment. Transportation assistance warrants strong policy consideration as a facilitator of medical service delivery. Future research should clarify whether program-level linkage to medical services improves the patient-level outcomes of drug abuse treatment.

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Documento generato il 02/07/20 alle ore 18:07:39