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Ownership and performance of outpatient substance abuse treatment centers

Author

Listed:
  • Wheeler, J.R.C.
  • Fadel, H.
  • D'Aunno, T.A.

Abstract

Background. Little is known about the organization and performance of outpatient substance abuse treatment (OSAT) centers. We examine several performance measures of OSAT units, including clients treated, services provided, revenue sources, financial performance, and access to care, in relation to ownership of the center. Methods. Data were drawn from a national random sample of 575 OSAT centers (85.8% response rate) participating in a telephone survey conducted in 1988. Analysis of variance by ownership was conducted on each performance measure, with differences subjected to tests of statistical significance. Results. Descriptive results show that major funding sources differ by ownership. Private for-profit centers generate higher profits, charge higher prices, and achieve higher levels of financial performance than public and not-for-profit centers. Public centers provide better access to care for persons who are unable to pay. Conclusions. There appear to be substantial and interrelated differences by ownership type in the financing and operation of OSAT units.

Suggested Citation

  • Wheeler, J.R.C. & Fadel, H. & D'Aunno, T.A., 1992. "Ownership and performance of outpatient substance abuse treatment centers," American Journal of Public Health, American Public Health Association, vol. 82(5), pages 711-718.
    • Handle: RePEc:aph:ajpbhl:1992:82:5:711-718_1
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    Cited by:

    1. Woodward, Albert & Das, Abhik & Raskin, Ira E. & Morgan-Lopez, Antonio A., 2006. "An exploratory analysis of treatment completion and client and organizational factors using hierarchical linear modeling," Evaluation and Program Planning, Elsevier, vol. 29(4), pages 335-351, November.
    2. Anirban Basu & A. David Paltiel & Harold A. Pollack, 2008. "Social costs of robbery and the cost‐effectiveness of substance abuse treatment," Health Economics, John Wiley & Sons, Ltd., vol. 17(8), pages 927-946, August.
    3. Nahra, Tammie A. & Mendez, David & Alexander, Jeffrey A., 2009. "Employing super-efficiency analysis as an alternative to DEA: An application in outpatient substance abuse treatment," European Journal of Operational Research, Elsevier, vol. 196(3), pages 1097-1106, August.

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