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临床试验网络方案参与度与物质使用障碍治疗质量之间的关系。

The relationship between Clinical Trial Network protocol involvement and quality of substance use disorder treatment.

机构信息

Department of Health Policy and Management, University of Georgia, Athens, GA 30602, USA.

出版信息

J Subst Abuse Treat. 2014 Feb;46(2):232-7. doi: 10.1016/j.jsat.2013.08.021. Epub 2013 Sep 27.

Abstract

The National Institute on Drug Abuse's Clinical Trials Network (CTN) is a practice-based research network that partners academic researchers with community based substance use disorder (SUD) treatment programs designed primarily to conduct effectiveness trials of promising interventions. A secondary goal of the CTN is to widely disseminate results of these trials and thus improve the quality of SUD treatment in the US. Drawing on data from 156 CTN programs, this study examines the association between involvement in CTN protocols and overall treatment quality measured by a comprehensive index of 35 treatment services. Negative binomial regression models show that treatment programs participating in a greater number of CTN protocols had significantly higher levels of treatment quality, an association that held after controlling for key organizational characteristics. These findings contribute to the growing body of research on the role of practice-based research networks in promoting health care quality.

摘要

国家药物滥用研究所的临床试验网络(CTN)是一个基于实践的研究网络,它将学术研究人员与社区为基础的物质使用障碍(SUD)治疗计划联系起来,主要目的是对有前途的干预措施进行有效性试验。CTN 的第二个目标是广泛传播这些试验的结果,从而提高美国 SUD 治疗的质量。本研究利用来自 156 个 CTN 计划的数据,考察了参与 CTN 方案与通过 35 项治疗服务综合指数衡量的整体治疗质量之间的关联。负二项回归模型显示,参与更多 CTN 方案的治疗计划的治疗质量显著提高,这一关联在控制了关键组织特征后仍然存在。这些发现为基于实践的研究网络在促进医疗保健质量方面的作用的不断增长的研究提供了贡献。

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