Center to Improve System Performance of Substance Use Disorder Treatment

 描述（申请人提供）：Brandeis/哈佛中心提高物质使用障碍治疗系统性能的核心卓越中心应用程序（P30）建议提高现有研究对支付和提供物质使用障碍（SUD）治疗服务的有效性和影响，并为那些在戏剧性的背景下设计SUD治疗政策的人提供国家资源，美国医疗保健系统的持续变化。该中心的目标是利用对支付方式和服务提供方法的研究，以协同方式扩大研究基础，确保SUD治疗服务包括在提高质量和降低医疗保健服务成本的努力中，并为政策决策提供信息，这将深刻影响SUD治疗服务的成本，质量和可用性。该中心将建立在3个组成部分的研究项目，以及在布兰代斯，哈佛和其他地方的相关研究，并支持新研究的发展，提供关键和及时的研究证据，可以告知有效政策的设计和实施。行政和研究支持核心提供了组织引擎，以促进跨项目的方法和研究结果的交叉施肥，以支持中心的目标：1。解决源于中心主题和概念框架的新研究问题：识别关键要素（例如，干预和环境的特征），确定干预的最佳水平（例如，支付者、提供者组织、临床医生）及其相互作用，并确定推动SUD治疗成功支付和交付系统改革的背景因素。2.通过激励对SUD治疗的支付和交付系统改革的研究、学习和实验来推进科学。3.通过培训和指导初级研究人员来推动下一代研究。4.翻译和传播我们在内容和方法方面的研究结果和专业知识，作为全国性的资源，为SUD治疗的支付和交付系统进行改革。该中心将通过将研究扩展到新兴主题并将研究结果传达给广大受众来实现这些目标。我们将通过总体分析和概念性文件来做到这一点;培训，指导和新的合作;以及国家学习合作和研究实验室的发展;以及在实施和分析问题上的合作。此外，我们将翻译和传播研究成果给广大的研究人员，供应商和政策制定者，以告知不断变化的支付环境和SUD治疗服务的交付。该中心将应用多学科研究透镜的交付和资助的问题，SUD治疗服务，以加强现有的研究和推动该领域向前发展，使关键信息是在变革的时间。

 DESCRIPTION (provided by applicant): This Core Center of Excellence application (P30) for the Brandeis/Harvard Center to Improve System Performance of Substance Use Disorder Treatment proposes to enhance the effectiveness and impact of existing research on payment and delivery of substance use disorder (SUD) treatment services and offer a national resource for those designing SUD treatment policy in the context of the dramatic, ongoing changes in the U.S. health care delivery system. The Center's goal is to use research on payment methods and service delivery approaches to synergistically expand the research base, to ensure that SUD treatment services are included in efforts to improve quality and reduce the cost of health care services, and to inform policy decisions that will profoundly affect the cost, quality and availability of SUD treatment services. The Center will build on 3 component research projects, as well as related research at Brandeis, Harvard and elsewhere, and support the development of new research to provide crucial and timely research evidence that can inform the design and implementation of effective policies. The Administrative and Research Support Cores provide the organizational engine to promote cross-fertilization of methods and findings across projects to support the Center's aims: 1. Address new research questions that stem from the Center theme and conceptual framework: Discern the key elements (e.g., characteristics of interventions and settings), determine best levels for intervention (e.g., payer, provider organization, clinician) and their interactions, and identify contextual factors that drive successful payment and delivery system reforms for SUD treatment. 2. Advance the science by stimulating research, learning, and experimentation on payment and delivery system reforms for SUD treatment. 3. Drive the next generation of research by training and mentoring junior investigators. 4. Translate and disseminate our findings and expertise in both content and methods, serving as a national resource for payment and delivery system reform for SUD treatment. The Center will achieve these aims by extending research into emerging topics and communicating findings to a broad audience. We will do this through overarching analyses and conceptual papers; training, mentoring and new collaborations; and the development of a State Learning Collaborative and Research Laboratory; and collaboration on implementation and analytic issues. Further we will translate and disseminate research results to an expansive audience of researchers, providers and policymakers to inform the changing environment of payment and delivery of SUD treatment services. The Center will apply a multidisciplinary research lens to questions of delivery and financing of SUD treatment services in order to enhance existing studies and push the field forward so that critical information is available in ths time of transformative change.