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

被引：0

作者：

Erick G. Guerrero

Lesley Harris

Howard Padwa

William A. Vega

Lawrence Palinkas

机构：

[1] University of Southern California,USC School of Social Work

[2] University of Louisville,Kent School of Social Work

[3] University of California,Department of Psychiatry and Biobehavioral Sciences

[4] Los Angeles,undefined

来源：

Administration and Policy in Mental Health and Mental Health Services Research | 2017年 / 44卷

关键词：

Health care reform; Organizational change; Addiction health services;

D O I：

暂无

中图分类号：

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

页码：463 / 469

页数：6

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