Sorensen James L, Guydish Joseph, Zilavy Pamela, Davis Thomas B, Gleghorn Alice, Jacoby Marvin, Sears Clare
Department of Psychiatry, University of California San Francisco, San Fransico, San Francisco General Hospital, California 94110, USA.
Am J Drug Alcohol Abuse. 2007;33(2):227-36. doi: 10.1080/00952990601174824.
We evaluated whether implementation of Treatment on Demand (TOD) policy in San Francisco was associated with improved access to drug abuse treatment.
Data came from San Francisco's treatment program waiting list over 4 years spanning the implementation of TOD policy. Access measures were monthly applicants waiting and days waited by treatment admissions. Quantitative analyses with 69 treatment facilities contrasted those receiving vs. not receiving TOD funds. Qualitative data came from interviews with facility administrators.
There was a small statistically significant decline in monthly waiting lists in the number of people waiting for treatment during the study period. The days waited by those admitted to treatment, however, significantly increased in TOD-funded facilities. Facilities used varied criteria for completing the access measures, which limit the utility of the measures.
Access to treatment improved slightly with implementation of TOD policy.
我们评估了旧金山按需治疗（TOD）政策的实施是否与改善药物滥用治疗的可及性相关。
数据来自旧金山治疗项目长达4年的等候名单，这4年涵盖了TOD政策的实施过程。可及性衡量指标包括每月的申请等候人数以及治疗入院者的等候天数。对69个治疗机构进行的定量分析对比了接受与未接受TOD资金的机构。定性数据来自对机构管理人员的访谈。
在研究期间，每月等候治疗的人数等候名单有小幅但在统计学上显著的下降。然而，在接受TOD资金的机构中，治疗入院者的等候天数显著增加。各机构在完成可及性衡量指标时使用了不同标准，这限制了这些指标的效用。
TOD政策的实施使治疗的可及性略有改善。
