Adapting Washington Circle performance measures for public sector substance abuse treatment systems
Adapting Washington Circle performance measures for public sector substance abuse treatment systems
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DOI：
10.1016/j.jsat.2008.06.008
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发表时间：
2009-04-01
影响因子：
3.9
通讯作者：
Acevedo, Andrea
中科院分区：
文献类型：
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作者：
Garnick, Deborah W.;Lee, Margaret T.;Acevedo, Andrea
华盛顿圈是一个专注于制定和传播药物滥用服务绩效衡量标准的团体，它为私人健康计划制定了三项此类标准。在本文中，我们探讨这些标准是否适合公共部门的衡量目标，以及利用州和地方药物滥用及/或心理健康机构为行政目的收集的数据在公共部门进行计算是否可行。12个州合作制定了修订后的标准，6个州对其进行了试点测试。原始标准中有两项被保留：治疗启动和治疗参与度。其他标准侧重于评估、戒毒、住院或住院治疗后的持续护理。这些数据表明，州机构可以从常规可用信息中计算绩效标准，并且这些指标存在很大差异。需要进行持续的研究来探究这些结果的原因，可能包括患者缺乏兴趣或投入、需要提高质量的努力或财务问题。（C）2009爱思唯尔公司。保留所有权利。
The Washington Circle, a group focused on developing and disseminating performance measures for substance abuse services. developed three such measures for private health plans. In this article, we explore whether these measures are appropriate for meeting measurement goals in the public sector and feasible to calculate in the public sector using data collected for administrative purposes by state and local substance abuse and/or mental health agencies. Working collaboratively, 12 states specified revised measures and 6 states pilot tested them. Two measures were retained from the original specifications: initiation of treatment and treatment engagement. Additional measures were focused on continuity of care after assessment, detoxification, residential or inpatient care. These data demonstrate that state agencies can calculate performance measures from routinely available information and that there is wide variability in these indicators. Ongoing research is needed to examine the reasons for these results, which might include lack of patient interest or commitment, need for quality improvement efforts, or financial issues. (C) 2009 Elsevier Inc. All rights reserved.