title: Managed care, inter-agency linkages, and outpatient substance abuse treatment.
abstract: : Although treatment of co-occurring behavioral and physical health problems could be facilitated by the linkages between health care providers, it is uncertain how such inter-agency linkages are affected by managed care. We used a sample of 167 service linkages to examine the effects of managed care arrangements on inter-agency communication, coordination, and perceived effectiveness. These linkages were identified based on interviews with 62 outpatient substance abuse treatment units in 2000. Results indicate that frequency of communication and inter-agency coordination are positively related to several managed care arrangements and may moderate the relationships between managed care arrangements and perceived effectiveness.
authors.affiliation: Department of Sociology and Anthropology, Middle Tennessee State University, Murfreesboro, TN 37132-0001, USA. ccarter@mtsu.edu
authors.forename: W Craig
authors.initials: WC
authors.lastname: Carter
authors.forename: Shoou-Yih D
authors.initials: SY
authors.lastname: Lee
authors.forename: Kathleen C
authors.initials: KC
authors.lastname: Thomas
authors.forename: Joseph
authors.initials: J
authors.lastname: Morrissey
mesh_terms: D000553:Ambulatory Care; D015897:Comorbidity; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D019538:Health Care Surveys; D006801:Humans; D008329:Managed Care Programs; D019966:Substance-Related Disorders; D014481:United States