title: Effect of quality chronic disease management for alcohol and drug dependence on addiction outcomes.
abstract: We examined the effect of the quality of primary care-based chronic disease management (CDM) for alcohol and/or other drug (AOD) dependence on addiction outcomes. We assessed quality using (1) a visit frequency based measure and (2) a self-reported assessment measuring alignment with the chronic care model. The visit frequency based measure had no significant association with addiction outcomes. The self-reported measure of care-when care was at a CDM clinic-was associated with lower drug addiction severity. The self-reported assessment of care from any healthcare source (CDM clinic or elsewhere) was associated with lower alcohol addiction severity and abstinence. These findings suggest that high quality CDM for AOD dependence may improve addiction outcomes. Quality measures based upon alignment with the chronic care model may better capture features of effective CDM care than a visit frequency measure.
authors: Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Boston Medical Center, Boston University School of Medicine, MA, USA. theresa.kim@bmc.org
authors: Theresa W
authors: TW
authors: Kim
authors: Richard
authors: R
authors: Saitz
authors: Debbie M
authors: DM
authors: Cheng
authors: Michael R
authors: MR
authors: Winter
authors: Julie
authors: J
authors: Witas
authors: Jeffrey H
authors: JH
authors: Samet
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000534:rehabilitation*; D002908:Chronic Disease; D019468:Disease Management; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods* / Q000592:standards; D011446:Prospective Studies; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care; D012720:Severity of Illness Index; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D016896:Treatment Outcome