Unmet need for substance abuse treatment of adults in Massachusetts.
Unmet need for substance abuse treatment of adults in Massachusetts.
复制标题
马萨诸塞州成人药物滥用治疗的需求未得到满足。
DOI：
10.1007/s10488-004-1667-y
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Anderson,TeresaE
中科院分区：
文献类型：
--
作者：
Shepard,DonaldS;Strickler,GailK;McAuliffe,WilliamE;Beaston-Blaakman,Aaron;Rahman,Mohammad;Anderson,TeresaE
本文提出了一种方法，以估计的大小和成本，消除未满足的需要，物质滥用治疗服务的成年人有临床显着的物质使用障碍，并适用于马萨诸塞州的信息的方法。未满足的治疗需求是通过1996-1997年对7，251名马萨诸塞州19岁及以上居民进行的全州家庭电话调查以及来自州和医疗补助财务数据的治疗组合和成本信息指数得出的。该研究估计，39，450名成年州居民（占总样本的0.81%）在过去一年中有临床显著的物质使用障碍，但在过去一年中没有接受治疗。向他们提供药物滥用治疗和外展服务将需要大约1.09亿美元（人均17美元）的额外费用，其中该州的最后手段支付者，马萨诸塞州公共卫生部药物滥用服务局（BSAS）将需要3100万美元（人均5美元）。BSAS支付的份额（28%）将比其目前的支出增加42%。本文量化了一个重要的，但有时被忽视的目标管理式医疗：改善物质滥用者谁需要，但不寻求治疗。
This article presents a methodology to estimate the size and cost of eliminating unmet need for substance abuse treatment services among adults who have clinically significant substance use disorders, and applies the approach to Massachusetts information. Unmet treatment needs were derived using a statewide household telephone survey of 7,251 Massachusetts residents aged 19 and older conducted in 1996–1997, and an index of treatment mix and cost information from state and Medicaid financial data. The study estimates that 39,450 adult state residents (0.81% of the total sample) had a clinically significant past-year substance use disorder, but had not received treatment in the past year. Providing substance abuse treatment and outreach services to them would have required an additional cost of approximately $109 million ($17 per capita), of which the state’s payer of last resort, the Massachusetts Department of Public Health Bureau of Substance Abuse Services (BSAS), would need to fund $31 million ($5 per capita). The share paid by BSAS (28%) would represent an increase of 42% over its current spending. This paper quantifies an important but sometimes overlooked objective of managed care: to improve access for substance abusers who need but do not seek treatment.