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Performance contracting for substance abuse treatment

M Commons1, T G McGuire, M H Riordan

  • 1Department of Economics, Boston University, MA 02215, USA.

Health Services Research
|December 24, 1997
PubMed
Summary
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Performance contracting in substance abuse services shows a positive link to improved effectiveness and efficiency. Further analysis of client-level data is needed for definitive conclusions on provider performance.

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Addiction Treatment

Background:

  • Performance contracting is an innovative approach to managing substance abuse services.
  • Measuring provider performance is crucial for effective public health interventions.

Purpose of the Study:

  • To describe performance contracting for substance abuse services in Maine.
  • To examine provider performance data before and after the implementation of performance contracting.

Main Methods:

  • Utilized Maine Addiction Treatment System (MATS) data from October 1989 to June 1994.
  • Aggregated client-level performance measures to the program level.
  • Employed multivariate regression analysis to assess the impact of performance contracting.

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Main Results:

  • Performance contracting demonstrated a positive relationship with overall effectiveness indicators, including drug use and social functioning.
  • Agencies heavily reliant on state funding showed increased efficiency in service delivery.
  • No significant association was found with indicators for services to special populations.

Conclusions:

  • Tentative evidence suggests a link between provider performance and the introduction of performance contracting.
  • More in-depth analysis of client-level data is required for conclusive findings.