Adoption and Diffusion of Evidence‐Based Addiction Medications in Substance Abuse Treatment

Health Services Research - Tập 49 Số 1 - Trang 127-152 - 2014
Carolyn J. Heinrich1, Grant R. Cummings2
1Lyndon B. Johnson School of Public Affairs and Department of Economics, The University of Texas at Austin, P.O. Box Y, Austin, TX, 78713-8925.
2Wisconsin Legislative Fiscal Bureau Madison WI

Tóm tắt

ObjectiveTo examine the roles of facility‐ and state‐level factors in treatment facilities' adoption and diffusion of pharmaceutical agents used in addiction treatment.Data SourcesSecondary data from the National Survey of Substance Abuse Treatment Services (N‐SSATS), Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Medicare and Medicaid Services, Alcohol Policy Information System, and Kaiser Family Foundation.Study DesignWe estimate ordered logit and multinomial logit models to examine the relationship of state and treatment facility characteristics to the adoption and diffusion of three pharmaceutical agents over 4 years when each was at a different stage of adoption or diffusion.Data CollectionN‐SSATS data with facility codes, obtained directly from SAMHSA, were linked by state identifiers to the other publicly available, secondary data.Principal FindingsThe analysis confirms the importance of awareness and exposure to the adoption behavior of others, dissemination of information about the feasibility and effectiveness of innovations, geographical clustering, and licensing and accreditation in legitimizing facilities' adoption and continued use of pharmacotherapies in addiction treatment.ConclusionsPolicy and administrative levers exist to increase the availability of pharmaceutical technologies and their continued use by substance abuse treatment facilities.

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Health Services Research

Tập 49 Số 1

127-152

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