Jones W, Clifford P
Department of Political Science, Texas A&M University, College Station 77843-4348.
J Natl Med Assoc. 1990 May;82(5):337-42.
This article discusses the "new wave" of privatization of treatment services for alcohol abusers. Despite the prevalence of alcohol abuse among ethnic minorities, the problem is still only marginally accepted as a focus for public health services. Instead of a consolidated effort or an integrated network, there are territorial fights among providers, a mistargeting of audiences, and a lack of any effort directed toward preventive health care. Recent research indicates that 68.5% of private sector employees are now covered by alcohol abuse treatment benefits as compared with only 36.2% in 1982. The growing number of employee assistance programs also has addressed the financial problems associated with long-term treatment in the work environment. Unfortunately these efforts are only directed at those in the society who are employed. As minority employment is much lower than that of the majority, minorities have not received the benefits of employer-financed treatment. This article assesses the growing privatization of treatment services and the failure of public alcohol prevention and rehabilitation programs to provide needed treatment for American minorities.
本文探讨了酗酒者治疗服务私有化的“新浪潮”。尽管少数民族中酗酒现象普遍存在，但该问题作为公共卫生服务的重点仍仅被勉强接受。提供者之间存在地域之争，受众定位错误，且缺乏针对预防性医疗保健的任何努力，而不是进行统一努力或建立综合网络。最近的研究表明，现在68.5%的私营部门员工享有酗酒治疗福利，而1982年这一比例仅为36.2%。越来越多的员工援助计划也解决了与工作环境中长期治疗相关的财务问题。不幸的是，这些努力仅针对社会中有工作的人。由于少数群体的就业率远低于多数群体，少数群体并未从雇主资助的治疗中受益。本文评估了治疗服务日益增加的私有化以及公共酒精预防和康复计划未能为美国少数群体提供所需治疗的情况。
