Impact of Patient Placement Criteria on Substance Abuse Treatment Under the Oregon Health Plan
Impact of Patient Placement Criteria on Substance Abuse Treatment Under the Oregon Health Plan
复制标题
俄勒冈州健康计划下患者安置标准对药物滥用治疗的影响
DOI:
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发表时间:
2004
期刊:
影响因子:
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通讯作者:
Gwen Grams
中科院分区:
文献类型:
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作者:
Dennis Deck;R. Gabriel;Jeffrey R W Knudsen;Gwen Grams
SUMMARY When Oregon shifted to managed care for Medicaid-funded substance abuse treatment, standardized patient placement and discharge criteria were rapidly implemented statewide. This prospective, naturalistic study examines the validity and impact of placement criteria with a sample of 240 adults presenting for treatment compared to a sample of 287 in Washington state, where implementation was phased in slowly. Baseline profile analysis suggested better differentiation between Level II and Level III clients for the Oregon sample and better implementation than with the Washington sample, presumably because Oregon clinicians received more training and had more experience with the criteria. A majority of the Oregon sample was placed in intensive outpatient programs, consistent with the recommended level of care. In this study, placement criteria showed good potential for changing treatment planning behavior, increasing individualization, and improving utilization of new levels of care.
影响因子:
4.2
作者:
Turner,WM;Turner,KH;Reif,S;Gutowski,WE;Gastfriend,DR
通讯作者:
Gastfriend,DR
DOI:
10.1111/j.1530-0277.1993.tb05219.x
发表时间:
1993
期刊:
Alcoholism, clinical and experimental research
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