Center to Improve System Performance of Substance Use Disorder Treatment

 描述(由申请人提供)：这份针对布兰代斯/哈佛中心的核心卓越中心申请(P30)旨在改善物质使用障碍治疗的系统性能，旨在提高现有研究在物质使用障碍(SUD)治疗服务支付和交付方面的有效性和影响，并为那些在美国医疗保健提供系统正在发生的戏剧性变化的背景下设计SUD治疗政策的人提供一个全国性的资源。该中心的目标是利用对支付方法和服务交付方法的研究，协同扩大研究基础，确保将SUD治疗服务纳入提高医疗服务质量和降低医疗服务成本的努力中，并为将对SUD治疗服务的成本、质量和可用性产生深远影响的政策决策提供信息。该中心将在三个组成部分研究项目以及布兰代斯、哈佛和其他地方的相关研究的基础上，支持新研究的发展，以提供关键和及时的研究证据，为有效政策的设计和实施提供信息。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结果的相互作用，以支持中心的目标：1.解决中心主题和概念框架产生的新研究问题：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，付款人、提供者组织、临床医生)及其相互作用，并确定推动SUD治疗的支付和交付系统成功改革的背景因素。2.通过促进对SUD治疗的支付和交付制度改革的研究、学习和试验来促进科学。3.通过培训和指导初级调查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调查结果和专门知识，作为SUD治疗的支付和交付系统改革的国家资源。中心将通过扩大对新兴主题的研究和向广大受众传播调查结果来实现这些目标。我们将通过总体分析和概念性文件；培训、指导和新的合作；建立国家学习合作和研究实验室；以及在执行和分析问题上进行合作来做到这一点。此外，我们将向广大研究人员、提供者和政策制定者翻译和传播研究成果，以告知SUD治疗服务的支付和交付环境的变化。该中心将运用多学科研究视角来研究提供和资助SUD治疗服务的问题，以加强现有的研究并推动该领域向前发展，以便在这一变革性变化的时期能够获得关键信息。

 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.