Use of Performance Based Contracts in Outpatient Substance Abuse Treatment
基于绩效的合同在门诊药物滥用治疗中的使用
基本信息
- 批准号:7535524
- 负责人:
- 金额:$ 2.64万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2007
- 资助国家:美国
- 起止时间:2007-11-01 至 2009-10-31
- 项目状态:已结题
- 来源:
- 关键词:AccountingAddressAffectAlcohol abuseAlcoholsAreaCaringCharacteristicsClientCluster AnalysisContractsDataDelawareDrug Abuse Treatment ServicesDrug abuseEconomicsEffectivenessEvaluationFutureGoalsHealth PersonnelHealth Services ResearchHealthcareIncentivesInstitute of Medicine (U.S.)LeadLiteratureMeasuresMedicalMethodsModelingNIH Program AnnouncementsNational Institute of Drug AbuseOutpatientsPerformancePharmaceutical PreparationsPoliciesPolicy MakerPreventionProbabilityProcessPublic HealthPublishingRecommendationRegression AnalysisReportingResearchResearch InstituteServicesSeveritiesSubstance abuse problemSurveysSystemTechniquesTestingTimeWorkbasebehavioral healthcostdesignimprovedmeetingsmultilevel analysispaymentprogramsresponsetreatment organization
项目摘要
DESCRIPTION (provided by applicant): A recent NIDA Health Services Research Program Announcement (PA) called for studies of the ways in which payment mechanisms "affect the degree of access to, and delivery, utilization, and quality of prevention and treatment services for drug abuse or alcohol abuse". The PA specifically called for evaluations of performance contracting models, as proposed in this study. Despite recommendations from the Institute of Medicine, little published exists on the impact of performance contracting on quality of general medical or behavioral health care. One of the first performance based contracts (PBC) for substance abuse (SA) treatment was implemented in Delaware in 2001. The goals of this project are to improve our understanding of how PBC works and how it impacts quality of SA treatment. Results of this study will provide valuable information which will inform current and future use of performance based contracting in SA treatment and in other areas. This study will use administrative data and a facility survey to: 1) Analyze whether the PBC program met its' goals of improving facility occupancy, client active participation in treatment and completion of treatment by analyzing the change in these contracted performance measures overtime, controlling for client characteristics. 2) Analyze the impact of facility characteristics such as the proportion of revenue from public clients, size of the organization and target of incentives, on the change in the probability of clients meeting the active participation criteria over time, controlling for client severity. 3) Determine whether and how SA treatment organizations responded to the change from a cost based contract to a performance based payment system. This study employs a quasi- experimental pre-post design. While all hypotheses will be tested using quantitative methods, a facility survey will be conducted to provide additional context and detail necessary to understand the impact of the PBC and facilities' responses to the PBC. Information obtained through the survey will allow for a more complete description of the PBC. All regression analyses will be conducted using multilevel modeling techniques to account for clustering of clients within facilities. These techniques are an increasingly popular method for analysis of clustered data. The proposed research will provide valuable information for policy makers and SA treatment providers as performance based contracts continue to develop. This study will improve public health by exploring the impact of quality improvement initiatives for substance abuse treatment.
描述(由申请人提供):最近的NIDA卫生服务研究计划公告(PA)呼吁研究付款机制“影响毒品滥用或酒精滥用的预防和治疗服务的访问程度,交付,利用以及预防质量和治疗服务的方式”。如本研究所建议的那样,PA专门要求评估性能合同模型。尽管医学研究所提出了建议,但关于绩效合同对一般医疗或行为医疗保健质量的影响很少。 2001年在特拉华州实施了基于绩效的最早基于绩效的合同(PBC)。该项目的目标是提高我们对PBC的工作方式以及它如何影响SA治疗质量的理解。这项研究的结果将提供有价值的信息,这些信息将为SA治疗和其他领域中的基于绩效的合同提供当前和将来的使用。这项研究将使用行政数据和设施调查:1)分析PBC计划是否实现了改善设施占用,客户积极参与治疗和完成治疗的目标,通过分析这些合同的绩效指标的变化,以控制客户特征。 2)分析设施特征的影响,例如公共客户的收入比例,组织的规模和激励措施的目标,对客户符合积极参与标准的可能性的变化,控制客户的严重性。 3)确定SA治疗组织是否以及如何响应从基于成本的合同到基于绩效的支付系统的变化。这项研究采用了准实验前设计。虽然所有假设将使用定量方法进行测试,但将进行设施调查,以提供其他上下文和细节,以了解PBC和设施对PBC的响应的影响。通过调查获得的信息将允许对PBC进行更完整的描述。所有回归分析将使用多级建模技术进行,以说明设施中客户的聚类。这些技术是一种越来越流行的群集数据分析方法。随着基于绩效的合同的不断发展,拟议的研究将为政策制定者和SA治疗提供者提供有价值的信息。这项研究将通过探索质量改善计划对药物滥用治疗的影响来改善公共卫生。
项目成果
期刊论文数量(0)
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科研奖励数量(0)
会议论文数量(0)
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Maureen T Stewart其他文献
Maureen T Stewart的其他文献
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{{ truncateString('Maureen T Stewart', 18)}}的其他基金
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Alcohol treatment in Medicaid managed care plans: Disparities in policies and outcomes
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10629356 - 财政年份:2021
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Alcohol treatment in Medicaid managed care plans: Disparities in policies and outcomes
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Use of Performance Based Contracts in Outpatient Substance Abuse Treatment
基于绩效的合同在门诊药物滥用治疗中的使用
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- 资助金额:
$ 2.64万 - 项目类别:
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