Comparison of outcomes by gender and for fee-for-service versus managed care A study of nine community programs

During-treatment services and 7-month posttreatment entry outcome of cocaine- or alcohol-dependent men ( n = 145) and women ( n = 149) Target City patients receiving either standard fee-for-services ( n = 183) or managed care treatment funding ( n = 111) in nine community outpatient programs were co...

Full description

Saved in:
Bibliographic Details
Published in:Journal of Substance Abuse Treatment 2000-09, Vol.19 (2), p.127-134
Main Authors: Alterman, Arthur I, Randall, Mary, McLellan, A.Thomas
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Alcoholism
Alcoholism - psychology
Alcoholism - therapy
Biological and medical sciences
Cocaine
Cocaine-Related Disorders - psychology
Cocaine-Related Disorders - therapy
Drug Addiction
Fee-for-Service Plans
Female
Funding type
Gender
Health Care Services
Health Maintenance Organizations
Humans
Male
Managed care
Managed Care Programs
Medical sciences
Middle Aged
Miscellaneous
Outpatient care facilities
Outpatients
Philadelphia, Pennsylvania
Program Evaluation
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Services
Sex Differences
Sex Factors
Substance abuse treatment
Treatment Outcome
Treatment Outcomes
Treatment Programs
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:During-treatment services and 7-month posttreatment entry outcome of cocaine- or alcohol-dependent men ( n = 145) and women ( n = 149) Target City patients receiving either standard fee-for-services ( n = 183) or managed care treatment funding ( n = 111) in nine community outpatient programs were compared. No differences were found in treatment services received by the various subgroups. Regression analyses compared the four described subgroups (Gender × Type of Funding) on their seven Addiction Severity Index composite scores at 7 months postadmission controlling for the respective baseline composite score and several background variables on which the groups differed. Surprisingly few outcome differences were revealed between men and women patients and patients receiving the two forms of treatment funding. The only difference noted was that patients treated via managed care showed more improvement in the drug area. The need for further evaluation of the effects of managed care is emphasized.
ISSN:0740-5472
1873-6483
DOI:10.1016/S0740-5472(00)00092-1