Abstract：
OBJECTIVE:Medications for the treatment of substance use disorders (SUDs) are not widely available in publicly funded SUD treatment programs. Few studies have drawn on longitudinal data to examine the organizational characteristics associated with programs transitioning from not delivering any pharmacotherapy to adopting at least one SUD medication. METHOD:Using two waves of panel longitudinal data collected over a 5-year period, we measured the transition to medication adoption in a cohort of 190 publicly funded treatment organizations that offered no SUD medications at baseline. Independent variables included organizational characteristics, medical resources, funding, treatment culture, and detailing activities by pharmaceutical companies. RESULTS:Of 190 programs not offering SUD pharmacotherapy at baseline, 22.6% transitioned to offering at least one SUD medication at follow-up approximately 5 years later. Multivariate logistic regression results indicated that the employment of at least one physician at baseline, having a greater proportion of Medicaid clients, and pharmaceutical detailing were positively associated with medication adoption. CONCLUSIONS:Adoption of pharmacotherapy was more likely in programs that had greater medical resources, Medicaid funding, and contact with pharmaceutical companies. Given the potential expansion of Medicaid under the Affordable Care Act, patients served by publicly funded programs may gain greater access to such treatments, but research is needed to document health reform's impact on this sector of the treatment system.
journal_name
J Stud Alcohol Drugsjournal_title
Journal of studies on alcohol and drugsauthors
Knudsen HK,Roman PMdoi
10.15288/jsad.2014.75.476subject
Has Abstractpub_date
2014-05-01 00:00:00pages
476-85issue
3eissn
1937-1888issn
1938-4114journal_volume
75pub_type
杂志文章,随机对照试验abstract：OBJECTIVE:Despite growing evidence of the adverse health effects of social disadvantage on minority populations, few studies have investigated whether such effects extend to alcohol problems. This study examines social disadvantage as a source of stress and analyzes its association with alcohol use and problems in the ...
journal_title：Journal of studies on alcohol and drugs
pub_type： 杂志文章
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journal_title：Journal of studies on alcohol and drugs
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journal_title：Journal of studies on alcohol and drugs
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journal_title：Journal of studies on alcohol and drugs
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journal_title：Journal of studies on alcohol and drugs
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doi：10.15288/jsad.2009.70.839
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更新日期：2015-07-01 00:00:00
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journal_title：Journal of studies on alcohol and drugs
pub_type： 杂志文章
doi：10.15288/jsad.2014.75.1018
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更新日期：2016-05-01 00:00:00
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journal_title：Journal of studies on alcohol and drugs
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doi：10.15288/jsad.2008.69.378
更新日期：2008-05-01 00:00:00
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更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:A zero-tolerance law for driving under the influence of drugs (DUID) was introduced in Sweden in 1999. This change in legislation has led to a 12-fold increase in the number of blood samples sent by the police for toxicological analysis. Here we report the age and gender of offenders, along with the concentra...
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doi：10.15288/jsad.2008.69.202
更新日期：2008-03-01 00:00:00
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更新日期：2018-05-01 00:00:00
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