Perceptions of the state policy environment and adoption of medications in the treatment of substance use disorders.
Perceptions of the state policy environment and adoption of medications in the treatment of substance use disorders.
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DOI：
10.1176/appi.ps.201100034
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发表时间：
2012-01
期刊：
影响因子：
--
通讯作者：
Abraham AJ
中科院分区：
文献类型：
--
作者：
Knudsen HK;Abraham AJ
尽管使用循证治疗实践来治疗物质使用障碍的兴趣越来越大，但治疗方案对药物的采用仍然不多。借助资源依赖和制度理论，这项研究考察了治疗项目对药物的采用与他们对国家政策环境的看法之间的关系。数据是通过邮寄调查和电话采访收集的，这些调查是在2009年至2010年期间对美国250名公共资助的药物滥用治疗项目的管理人员进行的。使用多重归因和多变量Logistic回归来估计对国家政策环境的感知与采用至少一种药物治疗物质使用障碍的几率之间的关联。共有91个项目(37%)报告曾开过治疗物质使用障碍的药物。如果项目感觉到单一国家机构对药物的更大支持，他们采用至少一种药物的可能性要大得多。如果该计划意识到至少有一种药物包括在他们所在州的医疗补助处方中，并且州合同资金允许购买药物，采用的可能性就会大大增加。各国可能在促进采用药物方面发挥重要作用，但充分传播有关国家政策和优先事项的信息可能对进一步采用药物至关重要。未来的研究应该继续研究用于治疗药物使用障碍的药物的采用与不断演变的政策环境之间的关系。
Despite growing interest in the use of evidence-based treatment practices for treating substance use disorders, adoption of medications by treatment programs remains modest. Drawing on resource dependence and institutional theory, this study examined the relationships between adoption of medications by treatment programs and their perceptions about the state policy environment. Data were collected through mailed surveys and telephone interviews with 250 administrators of publicly funded substance abuse treatment programs in the United States between 2009 and 2010. Multiple imputation and multivariate logistic regression were used to estimate the associations between perceptions of the state policy environment and the odds of adopting at least one medication for the treatment of substance use disorders. A total of 91 (37%) programs reported having prescribed any medication for treatment of a substance use disorder. Programs were significantly more likely to have adopted at least one medication if they perceived greater support for medications by the Single State Agency. The odds of adoption were significantly greater if the program was aware that at least one medication was included on their state’s Medicaid formulary and that state-contract funding permitted the purchase of medications. States may play significant roles in promoting the adoption of medications, but adequate dissemination of information about state policies and priorities may be vital to further adoption. Future research should continue to study the relationships between the adoption of medications for treating substance use disorders and the evolving policy environment.
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影响因子：
2.9
作者：
Ducharme, Lori J.;Knudsen, Hannah K.;Roman, Paul M.
通讯作者：
Roman, Paul M.
影响因子：
3.4
作者：
Abraham, Amanda J.;Roman, Paul M.
通讯作者：
Roman, Paul M.
影响因子：
3.8
作者：
Isett, Kimberley R.;Burnam, M. Audrey;Goldman, Howard H.
通讯作者：
Goldman, Howard H.
影响因子：
5.5
作者：
Knudsen, Hannah K.;Roman, Paul M.;Oser, Carrie B.
通讯作者：
Oser, Carrie B.
影响因子：
2.7
作者：
Barnard, J;Rubin, DB
通讯作者：
Rubin, DB