Work

Health-care reform and its anticipated impact on the capacity of addiction health services to implement integrated care practices

Year: 2015

Type: article

Abstract: Findings Five main themes showed that ACA design criteria were disconnected from expectations to increase access and standards of care. Providers were concerned about how public and private insurance expected to achieve workforce professionalization, while also weakening the role of current staff with recovery practice experience. Service delivery was expected to broaden, yet the managed-care model used in public health insurance coverage would reduce service intensity and have a limited impact on disparities. Providers anticipated that they would not have the capacity to implement prevention and integration of mental health and primary care, as required by the ACA. Overall, providers had not enacted changes and stressed their need for a coherent action plan to improve standards of care and reduce disparities as mandated by the ACA.

Source: Addiction Science & Clinical Practice

DOI: 10.1186/1940-0640-10-s1-a17

Authors: Erick G Guerrero, Lesley Maradik Harris, Howard Padwa, William A Vega, Lawrence Palinkas

Institutions: University of Southern California, University of Louisville, University of California, Los Angeles

Language: English

Topic: Substance Abuse Treatment and Outcomes

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,890