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Treatment and Health Services Research Panel Isaac D. Montoya, Ph.D. Affiliated Systems Houston, Texas PowerPoint Presentation
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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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slide1

Treatment and Health Services Research Panel

Isaac D. Montoya, Ph.D.

Affiliated Systems

Houston, Texas

slide2

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.

slide3

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

slide4

Concept of Primary Care (IOM, 1996)

Clinician

Patient

Family

Team

Integrated Delivery System

Community

slide5

LEVELS OF ANALYSIS

  • SYSTEM
    • Institutions
      • Providers
        • Patients
  • COMMUNITY
    • Environment
      • Neighborhoods
        • Population
slide6

ULTIMATE OUTCOMES:DRUG TREATMENT SERVICES

  • Micro
    • Health of Individuals
  • Macro
    • Health of Populations
slide7

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.
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INTERMEDIATE OUTCOMES:

DRUG TREATMENT SERVICES

slide9

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.
slide10

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.
slide11

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.
slide14

Services Research

Clinical Research

Intervention Research

Basic Research