From the Department of Health Policy and Management (EC, RW, I-HL), Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Health Management and Policy (JAA), School of Public Health, University of Michigan, Ann Arbor, MI; and Rhode Island Hospital (PDF), Alpert Medical School of Brown University, Providence, RI.
J Addict Med. 2009 Sep;3(3):139-50. doi: 10.1097/ADM.0b013e31818ebb6f.
Standardized patient placement criteria such as those developed by the American Society of Addiction Medicine are increasingly common in substance abuse treatment, but it is unclear what factors are associated with their use or with treatment units' provision of related services. This study examined these issues in the context of a national survey of outpatient substance abuse treatment units. Regressions using 2005 data revealed that both public and private managed care were associated with a greater likelihood of using American Society of Addiction Medicine criteria to develop client treatment plans. However, only public managed care was associated with a greater likelihood of offering more resource-intensive services. Associations between client population severity and resource-intensive service provision were sparse but positive.
标准化患者安置标准，如美国成瘾医学学会制定的标准，在物质滥用治疗中越来越常见，但尚不清楚哪些因素与它们的使用或治疗单位提供相关服务有关。本研究在对全国门诊物质滥用治疗单位进行的一项调查中探讨了这些问题。使用 2005 年数据进行的回归分析显示，公共和私人管理式医疗保健都与更有可能使用美国成瘾医学学会标准制定客户治疗计划相关。然而，只有公共管理式医疗保健与提供更多资源密集型服务的可能性更大相关。客户人群严重程度与资源密集型服务提供之间的关联虽然稀疏，但却是积极的。
