Organizational correlates of access to primary care and mental health services in drug abuse treatment units
Organizational correlates of access to primary care and mental health services in drug abuse treatment units
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DOI：
10.1016/s0740-5472(98)00018-x
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发表时间：
1999-01-01
影响因子：
3.9
通讯作者：
D'Aunno, TA
中科院分区：
文献类型：
--
作者：
Friedmann, PD;Alexander, JA;D'Aunno, TA
初级保健和心理健康服务可改善药物滥用治疗客户的健康和治疗结果。为了研究客户获得这些服务与戒毒治疗机构特征之间的关系，我们分析了 1995 年对 618 个门诊药物滥用治疗项目的单位主任和临床督导员进行的全国调查数据（答复率为 88%）。在控制客户特征和城市位置的多变量模型中，公共单位、人力资源较多的单位和美沙酮项目提供了更多的初级保健服务。公共单位、卫生保健组织认证联合委员会认可的单位、非美沙酮单位以及拥有更多精神科医生或心理学家的单位提供了更多的精神卫生服务。我们的结论是，组织因素可能会影响药物滥用治疗客户获得初级保健和心理健康服务。治疗系统的变化会削弱或消除公共项目、使工作人员负担过重、不再强调质量标准或减少美沙酮的供应，可能会削弱正在恢复的客户获得这些服务的脆弱性。 (C) 1998 爱思唯尔科学公司。
Primary care and mental health services improve drug abuse treatment clients' health and treatment outcomes. To examine the association between clients' access to these services and the characteristics of drug treatment organizations, we analyze data from a national survey of the unit directors and clinical supervisors of 618 outpatient drug abuse treatment programs in 1995 (88% response rate). In multivariate models controlling for client characteristics and urban location, public units, units with more human resources, and methadone programs delivered more primary care services. Public units, Joint Commission on Accreditation of Health Care Organizations-accredited units, nonmethadone units, and units with more staff psychiatrists or psychologists delivered more mental health services. We conclude that organizational factors may influence drug abuse treatment clients' access to primary care and mental health services. Changes in the treatment system that weaken or eliminate public programs, overburden staff de-emphasize quality standards or lessen methadone availability may erode recovering clients' tenuous access to these services. (C) 1998 Elsevier Science Inc.