Historique
Périodique
Managed care's dual impact on outpatient substance abuse treatment : methadone maintenance vs. drug free
(Double impact de la gestion de la santé sur les traitements ambulatoires des toxicomanes : maintenance à la méthadone versus programme sans traitement)
Auteur(s) :
SINDELAR, J. L. ;
OLMSTEAD T. A.
Année
2005
Page(s) :
507-528
Langue(s) :
Anglais
Refs biblio. :
37
Domaine :
Drogues illicites / Illicit drugs
Discipline :
SAN (Santé publique / Public health)
Thésaurus mots-clés
GESTION
;
SANTE
;
TRAITEMENT AMBULATOIRE
;
COMPARAISON
;
TRAITEMENT DE MAINTENANCE
;
METHADONE
;
ABSTINENCE
;
DISPOSITIF DE SOIN
Thésaurus géographique
AMERIQUE DU NORD
Note générale :
Journal of Drug Issues, 2005, 35, (3), 507-528
Note de contenu :
tabl.
Résumé :
ENGLISH :
The number and type of services offered at substance abuse treatment (SAT) facilities are important aspects of the quality of care. Managed care (MC) is a growing presence in SAT and has been shown to affect the provision of treatment. We expand on earlier work and examine the impact of managed care on the number and type of services offered by methadone maintenance (MM) and drug-free (DF) outpatient treatment facilities. We use the econometric technique of instrumental variables to address the issue of endogeneity of MC and service offerings, thereby allowing a causal interpretation of results. Using data from the 2000 National Survey of Substance Abuse Treatment Services, we find that MC significantly increases the total number of services offered in MM outpatient facilities by four, yet decreases the number by two in DF outpatient facilities. We also show how the impact on specific services differs by modality and provide explanations for our findings.. (Author's abstract.)
Affiliation :
Dept of Health Economics, Yale's School of Public Health
Etats-Unis. United States.
Etats-Unis. United States.