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 language | English (US) |
|---|---|
| Pages (from-to) | 284-295 |
| Number of pages | 12 |
| Journal | Medical Care |
| Volume | 39 |
| Issue number | 3 |
| State | Published - Mar 2001 |
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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
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 journal › Article
}
TY - JOUR
T1 - Linkage to Medical Services in the Drug Abuse Treatment Outcome Study
AU - Friedmann, Peter D.
AU - Lemon, Stephenie C.
AU - Stein, Michael D.
AU - Etheridge, Rose M.
AU - D'Aunno, Thomas
PY - 2001/3
Y1 - 2001/3
N2 - 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
AB - 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
KW - Case management
KW - Delivery of health care
KW - Drug abuse treatment units
KW - Health services needs and demands
KW - Substance dependence
KW - Transportation
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UR - http://www.scopus.com/inward/citedby.url?scp=0035293726&partnerID=8YFLogxK
M3 - Article
C2 - 11242322
AN - SCOPUS:0035293726
VL - 39
SP - 284
EP - 295
JO - Medical Care
JF - Medical Care
SN - 0025-7079
IS - 3
ER -