Expected Impact of Health Care Reform on the Organization and Service Delivery of Publicly Funded Addiction Health Services

被引：6
|
作者：
Guerrero, Erick G. [1 ]
Harris, Lesley [2 ]
Padwa, Howard [3 ]
Vega, William A. [1 ]
Palinkas, Lawrence [1 ]
机构：
[1] Univ Southern Calif, Sch Social Work, 1150 South Olive St, Los Angeles, CA 90015 USA
[2] Univ Louisville, Kent Sch Social Work, Louisville, KY 40292 USA
[3] Univ Calif Los Angeles, Dept Psychiat & Biobehav Sci, Box 71579,760 Westwood Plaza, Los Angeles, CA 90024 USA
来源：
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2017年 / 44卷 / 04期
关键词：
Health care reform; Organizational change; Addiction health services; SUBSTANCE-ABUSE TREATMENT; IMPLEMENTATION; CAPACITY;
D O I：
10.1007/s10488-015-0662-9
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Little is known about how the Affordable Care Act (ACA) will be implemented in publicly funded addiction health services (AHS) organizations. Guided by a conceptual model of implementation of new practices in health care systems, this study relied on qualitative data collected in 2013 from 30 AHS clinical supervisors in Los Angeles County, California. Interviews were transcribed, coded, and analyzed using a constructivist grounded theory approach with ATLAS.ti software. Supervisors expected several potential effects of ACA implementation, including increased use of AHS services, shifts in the duration and intensity of AHS services, and workforce professionalization. However, supervisors were not prepared for actions to align their programs' strategic change plans with policy expectations. Findings point to the need for health care policy interventions to help treatment providers effectively respond to ACA principles of improving standards of care and reducing disparities.
引用
收藏
页码：463 / 469
页数：7
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