MANAGED CARE AND ALCOHOL TREATMENT INDEP SCIENTIST AWARD

候选人：这个独立科学家奖的提案代表了在精神卫生服务研究方面具有丰富经验的个人的关注点的变化。管理行为卫生保健的兴起，加上人们对精神疾病和酒精使用障碍共病的认识日益增加，这就产生了对研究人员的需求，他们可以解决这些问题，因为这些问题与酒精问题个体的治疗有关。申请人是委员会认证的精神病学家，具有流行病学和生物统计学学位，以及管理行为卫生保健的临床背景。环境：俄勒冈州在医疗补助化学依赖治疗项目中采用管理式医疗，加上在俄勒冈州实施的几项大规模研究，为检验管理式医疗对化学依赖治疗项目的影响提供了一个理想的环境。此外，俄勒冈健康科学大学目前正在开展越来越多的研究项目，分别涉及美国印第安人酒精使用障碍的流行病学和酒精问题的遗传学。研究：独立科学家奖将用于(a)促进申请人在与酒精问题有关的卫生服务研究方面的研究发展；(b)促进有关(1)管理医疗财务安排和酒精治疗方案的研究项目的实施；(2)酒精问题患者使用抗抑郁药物的药物流行病学研究；(3)为美洲印第安人提供酒精治疗服务的组织和资助。

Candidate: This proposal for an Independent Scientist Award represents a change in focus for an individual with considerable experience in mental health services research. The rise of managed behavioral health care coupled with the growing recognition of comorbid mental illness and alcohol use disorders have created a need for investigators who can address these issues as they pertain to the treatment of individuals with alcohol problems. The applicant is a board certified psychiatrist with degrees in epidemiology and biostatistics as well as a clinical background in managed behavioral health care. Environment: Conveniently, Oregon's adoption of managed care for its Medicaid chemical dependency treatment program plus the implementation in Oregon state of several large scale research studies provide an ideal environment in which to examine the impact of managed care on chemical dependency treatment programs. In addition, Oregon Health Sciences University is now the site of growing research programs pertaining to the epidemiology of alcohol use disorders among American Indians and the genetics of alcohol problems, respectively. Research: The Independent Scientist Award will be used (a) to further the applicant's development as an investigator in health services research pertinent to alcohol problems and (b) to facilitate the implementation of research projects pertaining to (1) managed care financial arrangements and alcohol treatment programs, (2) pharmacoepidemiology of antidepressant usage by people with alcohol problems, and (3) organization and financing of alcohol treatment services for American Indians.