The network for the improvement of addiction treatment (NIATx): Enhancing access and retention
The network for the improvement of addiction treatment (NIATx): Enhancing access and retention
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DOI：
10.1016/j.drugalcdep.2006.10.009
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发表时间：
2007-05-11
影响因子：
4.2
通讯作者：
Cotter, Frances
中科院分区：
文献类型：
--
作者：
McCarty, Dennis;Gustafson, David H.;Cotter, Frances
成瘾治疗改善网络（NIATx）教导参与治疗中心使用过程改进策略。一项跨中心评价监测了对首次接触和首次治疗之间天数的影响，以及开始治疗并完成两个、三个和四个护理单元（即，一次门诊治疗、一天的重症门诊护理和一周的住院治疗）。该分析包括13个机构，这些机构于2003年8月开始参与，提交了10-15个月的数据，并试图改善门诊（n = 7）、重症门诊（n = 4）或住院治疗服务（n = 4）（两个机构提供了两级护理的数据）。治疗天数下降了37%（从19.6天到12.4天）的护理水平;变化是显着的整体和门诊和重症门诊服务。观察到第二个护理单位（72-85%;增加18%）和第三个护理单位（62-73%;增加17%）的护理保留率有了显著的整体改善;当评估护理水平时，仅在重症门诊服务中发现了显著的改善。治疗过程中的微小增量变化可导致治疗天数的显著减少和保留率的持续提高。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
The Network for the Improvement of Addiction Treatment (NIATx) teaches participating treatment centers to use process improvement strategies. A cross-site evaluation monitored impacts on days between first contact and first treatment and percent of patients who started treatment and completed two, three and four units of care (i.e., one outpatient session, 1 day of intensive outpatient care, and 1 week of residential treatment). The analysis included 13 agencies that began participation in August 2003, submitted 10-15 months of data, and attempted improvements in outpatient (n = 7), intensive outpatient (n = 4) or residential treatment services (n = 4) (two agencies provided data for two levels of care). Days to treatment declined 37% (from 19.6 to 12.4 days) across levels of care; the change was significant overall and for outpatient and intensive outpatient services. Significant overall improvement in retention in care was observed for the second unit of care (72-85%; 18% increase) and the third unit of care (62-73%; 17% increase); when level of care was assessed, a significant gain was found only for intensive outpatient services. Small incremental changes in treatment processes can lead to significant reductions in days to treatment and consistent gains in retention. (c) 2006 Elsevier Ireland Ltd. All rights reserved.