将社会资本与物质治疗提供的政治经济学联系起来：以伊利诺伊州以康复为导向的护理系统为例。
Linking social capital and the political economy of substance treatment delivery: The case of recovery-oriented systems of care in Illinois.
机构信息
Department of Family and Community Medicine, Saint Louis University, St. Louis, MO, USA.
Department of Family and Community Medicine, Saint Louis University, St. Louis, MO, USA.
出版信息
Int J Drug Policy. 2024 Oct;132:104561. doi: 10.1016/j.drugpo.2024.104561. Epub 2024 Sep 5.
BACKGROUND
Recovery-oriented systems of care have been a widely supported approach to transforming existing substance treatment programs across different states through developing recovery programs and interagency networks. However, little is known about the facilitators and barriers influencing their development and implementation.
METHODS
Qualitative study of 5 different recovery-oriented systems of care in Illinois. Nineteen respondents completed individual interviews.
RESULTS
A total of 124 codes and 2 themes were identified, reflecting constraints and opportunities. Theme 1 focused on how ROSC programs developed bonding, bridging, and linking social capital. Theme 2 focused on the ROSC coordinator and lead agency's power and accountability.
CONCLUSIONS
The roles of lead agencies and ROSC coordinators were highlighted in the development and implementation of ROSCs. ROSC membership structures allow for bonding, bridging, and linking social capital. Still, additional technical support is needed to improve accountability, reduce power differentials and turf battles, and ensure greater participation among more diverse stakeholders.
背景
以康复为导向的医疗系统已被广泛认可，它通过开发康复项目和机构间网络，为改造不同州现有的物质治疗项目提供了一种广泛支持的方法。然而，对于影响其发展和实施的促进因素和障碍因素知之甚少。
方法
对伊利诺伊州的 5 种不同的以康复为导向的医疗系统进行定性研究。19 名受访者完成了个人访谈。
结果
共确定了 124 个代码和 2 个主题，反映了约束和机遇。主题 1 侧重于 ROSC 项目如何发展粘结、桥接和链接社会资本。主题 2 侧重于 ROSC 协调员和牵头机构的权力和责任。
结论
牵头机构和 ROSC 协调员的角色在 ROSC 的发展和实施中得到了强调。ROSC 的成员结构允许粘结、桥接和链接社会资本。然而，还需要额外的技术支持，以提高问责制，减少权力差异和地盘之争，并确保更多不同利益相关者的更大参与。
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