Institute for Prevention of Addictions, Andrews University, Berrien Springs, MI 49104-0211, USA.
J Subst Abuse Treat. 2012 Mar;42(2):116-24. doi: 10.1016/j.jsat.2011.10.007. Epub 2011 Dec 5.
The Institute of Medicine noted that effective substance abuse treatment (SAT) programs integrate individual therapeutic approaches with transitional/ancillary services. In addition, research suggests that type of ownership impacts SAT services offered and that Medicaid plays a key role in SAT access. Data from the National Survey of Substance Abuse Treatment Services for the years 2000 and 2002-2006 were used to examine relationships among SAT program Medicaid acceptance, program ownership, and transitional/ancillary service accessibility. Multivariate logistic regression models controlling for state- and program-level contextual factors were used to analyze the data. Nonprofit SAT programs were significantly more likely to offer transitional/ancillary services than for-profit programs. However, programs that accepted Medicaid, regardless of ownership, were significantly more likely to offer most transitional/ancillary services. The data suggest that Medicaid may play a significant role in offering key transitional/ancillary services related to successful treatment outcome, regardless of program ownership type.
医学研究所指出，有效的药物滥用治疗（SAT）计划将个体治疗方法与过渡/辅助服务相结合。此外，研究表明，所有权类型会影响提供的 SAT 服务，而医疗补助在 SAT 服务的可及性方面发挥着关键作用。利用 2000 年和 2002-2006 年全国药物滥用治疗服务调查的数据，考察了 SAT 计划接受医疗补助、计划所有权和过渡/辅助服务可及性之间的关系。采用多变量逻辑回归模型，控制州和计划层面的背景因素，对数据进行分析。非营利性 SAT 计划提供过渡/辅助服务的可能性明显高于营利性计划。然而，无论所有权如何，接受医疗补助的计划提供大多数过渡/辅助服务的可能性显著更高。数据表明，无论计划所有权类型如何，医疗补助在提供与成功治疗结果相关的关键过渡/辅助服务方面可能发挥着重要作用。
