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Treatment and Health Services Research Panel Isaac D. Montoya, Ph.D. Affiliated Systems Houston, Texas

Treatment and Health Services Research Panel Isaac D. Montoya, Ph.D. Affiliated Systems Houston, Texas. NIDA DEFINITION OF HEALTH SERVICES RESEARCH.

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Treatment and Health Services Research Panel Isaac D. Montoya, Ph.D. Affiliated Systems Houston, Texas

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  1. Treatment and Health Services Research Panel Isaac D. Montoya, Ph.D. Affiliated Systems Houston, Texas

  2. NIDA DEFINITION OF HEALTH SERVICES RESEARCH Health services research is a multidisciplinary field of inquiry, both basic and applied, that examines how social factors, financing systems, organizational structures and processes, health technologies, and personal beliefs and behaviors affect access to and utilization of healthcare, the quality and cost of healthcare, and in the end our health and well-being. Ultimately, the goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high quality care.

  3. Continuum of Drug Treatment Services TreatmentServices Preventive Services Long-Term Care TREATMENT SYSTEM COMMUNITY COMMUNITY Home & Long-Term Public Health Acute Community Ambulatory Community- Institutional Institutional System Resources Care Care Based Care Care

  4. Concept of Primary Care (IOM, 1996) Clinician Patient Family Team Integrated Delivery System Community

  5. LEVELS OF ANALYSIS • SYSTEM • Institutions • Providers • Patients • COMMUNITY • Environment • Neighborhoods • Population

  6. ULTIMATE OUTCOMES:DRUG TREATMENT SERVICES • Micro • Health of Individuals • Macro • Health of Populations

  7. Effectiveness, Efficiency & Equity • Effectiveness – examines the benefits of treatment measured by improvements in health; • Efficiency – relates these health improvements to the resources required to produce them; and • Equity – is concerned with health disparities and the fairness and effectiveness of the procedures for addressing them.

  8. INTERMEDIATE OUTCOMES: DRUG TREATMENT SERVICES

  9. EFFECTIVENESS • MICRO – Clinical effectiveness: addresses the impact of drug treatment on improving the health of individual patients. • MACRO – Population effectiveness: addresses the impact of treatment,medical, and nonmedical factors on improving the health of populations as a whole.

  10. EFFICIENCY • MICRO – Production efficiency: concerned with the combination of inputs to produce drug treatment services at the lowest cost. • MACRO – Allocative efficiency: concerned with the combination of treatment, medical and nonmedical inputs to produce maximum health improvements given available resources.

  11. EQUITY • MICRO – Procedural equity: addresses the extent to which the structure or procedures entailed in delivering medical care services are fair. • MACRO – Substantive equity: addresses theextent to which subgroup disparities in health are minimized.

  12. HEALTH SERVICES RESEARCH:REFLECTIONS

  13. HEALTH SERVICES RESEARCH:NEW DIRECTIONS

  14. Services Research Clinical Research Intervention Research Basic Research

  15. THANK YOU

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