门诊药物滥用治疗中心的所有权与运营情况
Ownership and performance of outpatient substance abuse treatment centers.
作者信息
Wheeler J R, Fadel H, D'Aunno T A
机构信息
School of Public Health, University of Michigan, Ann Arbor 48109-2029.
出版信息
Am J Public Health. 1992 May;82(5):711-8. doi: 10.2105/ajph.82.5.711.
BACKGROUND
Little is known about the organization and performance of outpatient substance abuse treatment (OSAT) centers. We examine several performance measures of OSAT units, including clients treated, services provided, revenue sources, financial performance, and access to care, in relation to ownership of the center.
METHODS
Data were drawn from a national random sample of 575 OSAT centers (85.8% response rate) participating in a telephone survey conducted in 1988. Analysis of variance by ownership was conducted on each performance measure, with differences subjected to tests of statistical significance.
RESULTS
Descriptive results show that major funding sources differ by ownership. Private for-profit centers generate higher profits, charge higher prices, and achieve higher levels of financial performance than public and not-for-profit centers. Public centers provide better access to care for persons who are unable to pay.
CONCLUSIONS
There appear to be substantial and interrelated differences by ownership type in the financing and operation of OSAT units.
背景
关于门诊药物滥用治疗（OSAT）中心的组织架构和运营情况，人们了解甚少。我们考察了OSAT机构的多项绩效指标，包括接受治疗的客户、提供的服务、收入来源、财务绩效以及获得治疗的机会，并探讨了这些指标与中心所有权之间的关系。
方法
数据取自1988年参与电话调查的全国575个OSAT中心的随机样本（回复率为85.8%）。对每个绩效指标按所有权类型进行方差分析，并对差异进行统计学显著性检验。
结果
描述性结果表明，主要资金来源因所有权类型而异。与公立和非营利性中心相比，私立营利性中心利润更高，收费更高，财务绩效水平也更高。公立中心为无力支付费用的人提供了更好的治疗机会。
结论
在OSAT机构的融资和运营方面，不同所有权类型之间似乎存在重大且相互关联的差异。
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