Dimensions of publicness and performance in substance abuse treatment organizations

• 成果类型: Article; Proceedings Paper
• 署名作者: Heinrich, CJ; Fournier, E
• 署名单位: University of Wisconsin System; University of Wisconsin Madison; University of North Carolina; University of North Carolina Chapel Hill
• 刊物名称: JOURNAL OF POLICY ANALYSIS AND MANAGEMENT
• ISSN/ISSBN: 1520-6710
• DOI: 10.1002/pam.10178
• 发表日期: 2004
• 页码: 49-70
• 关键词: treatment programs; treatment outcomes; datos; services; PRIVATE; patient; OWNERSHIP; models; LEVEL

摘要

Changes in funding, clientele, and treatment practices of public and privately owned substance abuse treatment programs, compelled in part by increased cost containment pressures, have prompted researchers' investigations of the implications of organizational form for treatment programs. These studies primarily probe associations between ownership status, patient characteristics, and services delivered and do not empirically link organizational form or structure to treatment outcomes. Data from the National Treatment Improvement Evaluation Study (NTIES) were used to study the relationship of ownership and other dimensions of publicness identified in the public management literature to patient outcomes, controlling for patient characteristics, treatment experiences, and other program characteristics. A few effects of organizational form and structure on substance abuse treatment outcomes are statistically signifcant (primarily improved social functioning), although the specific contributions of measures of ownership and publicness to explaining program-level variation are generally small. (C) 2004 by the Association for Public Policy Analysis and Management.