Identifying substance abuse treatment gaps in substate areas
Identifying substance abuse treatment gaps in substate areas
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DOI：
10.1016/s0740-5472(02)00263-5
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发表时间：
2002-10-01
影响因子：
3.9
通讯作者：
Dunn, RP
中科院分区：
文献类型：
--
作者：
McAuliffe, WE;Woodworth, R;Dunn, RP
作者调查了对卫生服务利用不均匀的担忧，特别是对弱势高危人群的影响，构建了综合指数，用于确定罗德岛城镇和多城镇规划区药物滥用治疗差距。药物、酒精和药物滥用需求指数综合了多年与药物相关的死亡率、出院率和逮捕率。这些指标可靠且具有收敛效度；综合指标也可靠并具有结构效度。对城镇药物滥用需求指数得分的治疗入院率进行回归显示，一些地区在治疗服务方面存在相对差距。拥有客观且经过验证的方法来确定治疗差距可以帮助治疗计划者确保全州平等获得服务。减少前往治疗设施的次数可以提高治疗利用率和治疗保留率。 (C) 2002 Elsevier Science Inc. 保留所有权利。
Investigating concerns about uneven utilization of health services, especially affecting disadvantaged high-risk populations, the authors constructed composite indexes for identifying substance abuse treatment gaps in Rhode Island towns and multi-town planning areas. The Drug, Alcohol, and Substance Abuse Need Indexes combined multiple-year rates of substance-related deaths, hospital discharges, and arrests. These indicators were reliable and possessed convergent validity; the composite indexes were also reliable and had construct validity. Regression of treatment admissions rates on town Substance Abuse Need Index scores revealed that some areas had relative gaps in treatment services. Having an objective and validated method for identifying treatment gaps could help treatment planners ensure equal access to services throughout the state. Reducing travel to treatment facilities can increase treatment utilization and treatment retention. (C) 2002 Elsevier Science Inc. All rights reserved.