Linkage to Medical Services in the Drug Abuse Treatment Outcome Study

Peter D. Friedmann, Stephenie C. Lemon, Michael D. Stein, Rose M. Etheridge, Thomas D'Aunno

Research output: Contribution to journalArticle

Abstract

Background: An episode of substance abuse treatment is an opportunity to link substance-abusing patients to medical care at a time when management of medical problems might stabilize recovery and long-term health. However, little is known about the ability of organizational linkage mechanisms to facilitate the delivery of medical care to this population. Objectives: The goal of this study was to examine whether organizational linkage mechanisms facilitate medical service utilization in drug abuse treatment programs. Research design: This was a prospective secondary analysis of the Drug Abuse Treatment Outcome Study, a national longitudinal study of drug abuse treatment programs and their patients from 1991 to 1993. Hierarchical linear models evaluated the effect of on-site delivery, formal and informal referral, case management emphasis, and transportation on the log-transformed number of medical visits at the 1-month in-treatment patient interview. Measures: Program directors' surveys provided organizational information, including the linkage mechanism used to deliver medical care. Patients reported the number of medical visits during the first month of drug abuse treatment. Results: Exclusive on-site delivery increased medical utilization during the first month of drug abuse treatment (β estimate, 0.22; standard error [SE], 0.06; P

Original languageEnglish (US)
Pages (from-to)284-295
Number of pages12
JournalMedical Care
Volume39
Issue number3
StatePublished - Mar 2001

Fingerprint

medical services
drug abuse
Substance-Related Disorders
Outcome Assessment (Health Care)
medical care
utilization
medical service
Therapeutics
time management
Time Management
secondary analysis
case management
linear model
Aptitude
substance abuse
Case Management
research planning
director
longitudinal study
Longitudinal Studies

Keywords

  • Case management
  • Delivery of health care
  • Drug abuse treatment units
  • Health services needs and demands
  • Substance dependence
  • Transportation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Friedmann, P. D., Lemon, S. C., Stein, M. D., Etheridge, R. M., & D'Aunno, T. (2001). Linkage to Medical Services in the Drug Abuse Treatment Outcome Study. Medical Care, 39(3), 284-295.

Linkage to Medical Services in the Drug Abuse Treatment Outcome Study. / Friedmann, Peter D.; Lemon, Stephenie C.; Stein, Michael D.; Etheridge, Rose M.; D'Aunno, Thomas.

In: Medical Care, Vol. 39, No. 3, 03.2001, p. 284-295.

Research output: Contribution to journalArticle

Friedmann, PD, Lemon, SC, Stein, MD, Etheridge, RM & D'Aunno, T 2001, 'Linkage to Medical Services in the Drug Abuse Treatment Outcome Study', Medical Care, vol. 39, no. 3, pp. 284-295.
Friedmann PD, Lemon SC, Stein MD, Etheridge RM, D'Aunno T. Linkage to Medical Services in the Drug Abuse Treatment Outcome Study. Medical Care. 2001 Mar;39(3):284-295.
Friedmann, Peter D. ; Lemon, Stephenie C. ; Stein, Michael D. ; Etheridge, Rose M. ; D'Aunno, Thomas. / Linkage to Medical Services in the Drug Abuse Treatment Outcome Study. In: Medical Care. 2001 ; Vol. 39, No. 3. pp. 284-295.
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