Instruments of policy and administration for improving substance abuse treatment practice and program outcomes
Instruments of policy and administration for improving substance abuse treatment practice and program outcomes
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DOI：
10.1177/002204260503500304
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发表时间：
2005-06-01
影响因子：
1.7
通讯作者：
Fournier, E
中科院分区：
文献类型：
--
作者：
Heinrich, CJ;Fournier, E
呼吁改进药物滥用治疗实践的动机是实现持续积极的治疗后结果的最终目标。在这项研究中的实证调查的一个中心假设是，消费者层面的结果直接或间接地通过临床实践，在政策和组织层面的因素。四大类政策和计划管理（资金，服务技术和交付，组织结构和领导），促进或阻碍实践改进的实施进行了调查。模型假设政策和计划管理的影响将根据治疗目标和相应的测量结果进行测试。使用新的可用数据，链接程序和消费者层面的措施，实证分析表明，统计上显着的直接影响的程序和政策因素的结果，以及这些变量对治疗实践的影响，有显着的影响治疗结果。
The call for practice improvement in substance abuse treatment is motivated by the ultimate goal of achieving consistently positive post-treatment outcomes. A central hypothesis of the empirical investigation in this study is that consumer-level outcomes are affected either directly or indirectly through clinical practice, by factors originating at the policy and organizational level. Four broad categories of policy and program administration (funding, service technology and delivery, organizational structure, and leadership) that facilitate or hinder the implementation of practice improvements are investigated. Models hypothesizing that the effects of policy and program administration will vary according to the treatment goals and corresponding measurement of outcomes are tested. Using newly available data that link program- and consumer-level measures, the empirical analysis shows statistically significant direct effects of program and policy factors on outcomes as well as effects of these variables on treatment practices that have significant implications for treatment outcomes.