Access to health and human services for drug users: an urban/rural community systems perspective.
Publicly funded drug-user treatment programs in both urban and rural areas are under unprecedented pressure to adapt to multiple perspectives of their mission, reduced governmental funding, diminished entitlement program resources for clients, managed care reforms, and continuing unmet need for services. This article describe an ongoing health services research study that is investigating how these and related health and human service programs currently serve and cross-refer chronic drug users and how they perceive and are reacting to systemic pressures. Interim analysis on intra-agency diversity and managed care perceptions are reported.
Rivers
J E
JE
Comprehensive Drug Research Center, University of Miami School of Medicine, Florida 33136, USA. jrivers@mednet.med.miami.edu
Komaroff
E
E
Kibort
A C
AC
D001291:Attitude of Health Personnel; D002908:Chronic Disease; D003153:Community Health Services / Q000191:economics / Q000706:statistics & numerical data*; D005378:Financial Support; D005431:Florida; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008329:Managed Care Programs / Q000639:trends*; D012050:Rehabilitation, Vocational / Q000706:statistics & numerical data; D019035:Rural Health Services / Q000191:economics / Q000706:statistics & numerical data; D012947:Social Work / Q000458:organization & administration / Q000706:statistics & numerical data*; D016320:Substance Abuse Treatment Centers / Q000191:economics / Q000600:supply & distribution*; D019966:Substance-Related Disorders / Q000191:economics / Q000628:therapy*; D019037:Urban Health Services / Q000191:economics / Q000706:statistics & numerical data