Health Services for HIV/AIDS, HCV, and Sexually Transmitted Infections in Substance Abuse Treatment Programs

Autor: James Robinson, John Rotrosen, R. Jeffrey Goldsmith, Lawrence S. Brown, Steven Kritz, Donald Alderson, Edmund J. Bini
Rok vydání: 2007
Předmět:
Counseling
Sexually transmitted disease
Gerontology
medicine.medical_specialty
media_common.quotation_subject
Sexually Transmitted Diseases
Staffing
HIV Infections
Risk Assessment
Health Services Accessibility
03 medical and health sciences
0302 clinical medicine
Patient Education as Topic
Acquired immunodeficiency syndrome (AIDS)
Humans
Medicine
030212 general & internal medicine
Medical History Taking
Physical Examination
Reimbursement
Health policy
media_common
Practice
030505 public health
Health Priorities
business.industry
Health Policy
Addiction
Public health
Public Health
Environmental and Occupational Health
medicine.disease
Hepatitis C
Substance abuse
Cross-Sectional Studies
Family medicine
Insurance
Health
Reimbursement
Substance Abuse Treatment Centers
0305 other medical science
business
Public Health Administration
Zdroj: Public Health Reports. 122:441-451
ISSN: 1468-2877
0033-3549
DOI: 10.1177/003335490712200404
Popis: The National Drug Abuse Treatment Clinical Trials Network conducted this study to determine the availability of and factors associated with infection-related health services in substance abuse treatment settings. In a cross-sectional descriptive design, state policies, reimbursement for providers, state level of priority, and treatment program characteristics were studied via written surveys of administrators of substance abuse treatment programs and of state health and substance abuse departments. Data from health departments and substance abuse agencies of 48 states and from 269 substance abuse treatment programs revealed that human immunodeficiency virus/acquired immunodeficiency syndrome-related services are more frequent than hepatitis C virus or sexually transmitted infection-related services, and that nonmedical services are more frequent than medical services. While the availability of infection-related health services is associated with medical staffing patterns, addiction pharmacotherapy services, and state priorities, reimbursement was the most significant determining factor. These findings suggest that greater funding of these health services in substance abuse treatment settings, facilitated by supportive state policies, represents an effective response to the excess morbidity and mortality of these substance use-related infections.
Databáze: OpenAIRE
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