Heinrich Carolyn J, Fournier Elizabeth
LaFollette School of Public Affairs, University of Wisconsin-Madison, USA.
J Policy Anal Manage. 2004 Winter;23(1):49-70. doi: 10.1002/pam.10178.
Changes in funding, clientele, and treatment practices of public and privately owned substance abuse treatment programs, compelled in part by increased cost containment pressures, have prompted researchers' investigations of the implications of organizational form for treatment programs. These studies primarily probe associations between ownership status, patient characteristics, and services delivered and do not empirically link organizational form or structure to treatment outcomes. Data from the National Treatment Improvement Evaluation Study (NTIES) were used to study the relationship of ownership and other dimensions of publicness identified in the public management literature to patient outcomes, controlling for patient characteristics, treatment experiences, and other program characteristics. A few effects of organizational form and structure on substance abuse treatment outcomes are statistically significant (primarily improved social functioning), although the specific contributions of measures of ownership and publicness to explaining program-level variation are generally small.
公共和私人拥有的药物滥用治疗项目在资金、客户群体和治疗方法上的变化，部分是由于成本控制压力增加所迫，这促使研究人员对组织形式对治疗项目的影响进行调查。这些研究主要探究所有权状态、患者特征和提供的服务之间的关联，并未从实证角度将组织形式或结构与治疗结果联系起来。来自国家治疗改进评估研究（NTIES）的数据被用于研究所有权以及公共管理文献中所确定的其他公共性维度与患者结果之间的关系，同时控制患者特征、治疗经历和其他项目特征。尽管所有权和公共性衡量指标对解释项目层面差异的具体贡献通常较小，但组织形式和结构对药物滥用治疗结果的一些影响在统计上具有显著意义（主要是社会功能得到改善）。
