Abstract:
OBJECTIVE:To describe changes in characteristics of directors of outpatient opioid agonist treatment (OAT) programs, and to examine the association between directors' characteristics and low methadone dosage. DATA SOURCE:Repeated cross-sectional surveys of OAT programs in the United States from 1995 to 2011. STUDY DESIGN:We used generalized linear regression models to examine associations between directors' characteristics and methadone dose, adjusting for program and patient factors. DATA COLLECTION:Data were collected through telephone surveys of program directors. PRINCIPAL FINDINGS:The proportion of OAT programs with an African American director declined over time, from 29 percent in 1995 to 16 percent in 2011. The median percentage of patients in each program receiving <60 mg/day declined significantly, from 48.5 percent in 1995 to 29 percent in 2005 and 23 percent in 2011. Programs with an African American director were significantly more likely to provide low methadone doses than other programs. This association was even stronger in programs with an African American director who served populations with higher percentages of African American patients. CONCLUSIONS:Demographic characteristics of OAT program directors (e.g., their race) may play a key role in explaining variations in methadone dosage across programs and patients. Further research should investigate the causal pathways through which directors' characteristics affect treatment practices. This may lead to new, multifaceted managerial interventions to improve patient outcomes.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Frimpong JA,Shiu-Yee K,D'Aunno Tdoi
10.1111/1475-6773.12558subject
Has Abstractpub_date
2017-10-01 00:00:00pages
1881-1907issue
5eissn
0017-9124issn
1475-6773journal_volume
52pub_type
杂志文章abstract:OBJECTIVE:To describe how the organization and dynamics of health systems changed between 1999 and 2001, in the context of expectations from the mid-1990s when managed care was in ascendance, and assess the implications for consumers and policymakers. DATA SOURCES/STUDY SETTING:Data are from the Community Tracking Stu...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.00119
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:To compare medical care costs and utilization in a consumer-driven health plan (CDHP) to other health insurance plans. STUDY DESIGN:We examine claims and employee demographic data from one large employer that adopted a CDHP in 2001. A quasi-experimental pre-post design is used to assign employees to three co...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2004.00282.x
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVES:To estimate the effect of Medicaid expansion under the Affordable Care Act (ACA) on the frequency and payment source for Emergency Department (ED) visits for dental care. STUDY DESIGN:Retrospective, quasi-experimental study. DATA SOURCES/STUDY SETTING:We used the State Emergency Department Database to comp...
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doi:10.1111/1475-6773.13261
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.13560
更新日期:2020-09-23 00:00:00
abstract:OBJECTIVE:To compare the estimated effects of dialysis center profit status on patient survival using alternative estimation strategies with retrospective data. DATA SOURCES/STUDY SETTING:Patient and provider-level retrospective data from the United States Renal Data System (USRDS), 1996-1999. STUDY DESIGN:Observatio...
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pub_type: 杂志文章
doi:10.1111/j.1475-6773.2006.00581.x
更新日期:2006-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/1475-6773.12581
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVES:To examine which components of medical homes affect time families spend arranging/coordinating health care for their children with special health care needs (CSHCNs) and providing health care at home. DATA SOURCES:2009-2010 National Survey of Children with Special Health Care Needs (NS-CSHCN), a population-...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.12215
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:To test the accuracy of various physicians' participation in Medicaid models. DATA SOURCES/STUDY SETTING:Primary data on 221 obstetricians and gynecologists in the Chicago area by telephone interviews over a four-month period. These data were combined with secondary data from the American Medical Association...
journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVE:To investigate how changes in insurer participation and composition as well as state policies affect health plan affordability for individual market enrollees. DATA SOURCES:2014-2019 Qualified Health Plan Landscape Files augmented with supplementary insurer-level information. STUDY DESIGN:We measured plan a...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.13190
更新日期:2019-08-01 00:00:00
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journal_title:Health services research
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doi:
更新日期:1987-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/1475-6773.12836
更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1475-6773.2008.00881.x
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:To examine the determinants of postsurgery length of stay (LOS) and inpatient mortality in the United States (California and Massachusetts) and Canada (Manitoba and Quebec). DATA SOURCES/STUDY SETTING:Patient discharge abstracts from the Agency for Health Care Policy and Research Nationwide Inpatient Sample ...
journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract::Organizations are increasingly becoming dynamic and unstable. This evolution has given rise to greater reliance on teams and increased complexity in terms of team composition, skills required, and degree of risk involved. High-reliability organizations (HROs) are those that exist in such hazardous environments where t...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2006.00566.x
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To examine the service experiences and outcomes of low-income Medicaid beneficiaries with disabilities under two different models for organizing home-based personal assistance services: agency-directed and consumer-directed. DATA SOURCE:A survey of a random sample of 1,095 clients, age 18 and over, who recei...
journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1475-6773.2007.00759.x
更新日期:2008-02-01 00:00:00
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doi:10.1111/1475-6773.12202
更新日期:2014-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/1475-6773.12330
更新日期:2015-08-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1988-06-01 00:00:00
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doi:10.1111/1475-6773.12811
更新日期:2018-10-01 00:00:00
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doi:
更新日期:2001-06-01 00:00:00
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更新日期:2007-12-01 00:00:00
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更新日期:2018-04-01 00:00:00
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更新日期:2016-06-01 00:00:00
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doi:
更新日期:1998-06-01 00:00:00
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更新日期:2018-12-01 00:00:00
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更新日期:2014-12-01 00:00:00
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更新日期:2007-04-01 00:00:00
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journal_title:Health services research
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doi:
更新日期:1999-02-01 00:00:00