TY - JOUR
KW - Adolescent
KW - Adult
KW - Alcoholism/rehabilitation
KW - Cocaine-Related Disorders/rehabilitation
KW - Diagnosis-Related Groups
KW - Female
KW - Health Facility Size
KW - Heroin Dependence/rehabilitation
KW - Humans
KW - Length of Stay/statistics & numerical data
KW - Linear Models
KW - Male
KW - Massachusetts
KW - Middle Aged
KW - Practice Patterns, Physicians'
KW - Quality of Health Care
KW - Substance Abuse Treatment Centers/standards/utilization
AU - J. N. Jonkman
AU - D. McCarty
AU - H. J. Harwood
AU - S. L. Normand
AU - Y. Caspi
A1 - 
AB - Admissions to 20 publicly funded alcohol and drug detoxification centers in Massachusetts were examined to identify program and patient variables that influenced length of stay. The last admission during fiscal year 1996 was abstracted for patients 18 years of age and older seeking alcohol, cocaine, or heroin detoxification (n=21,311; 29% women). A hierarchical generalized linear model examined the effects of patient and program characteristics on variation in length of stay and tested case-mix adjustments. Program size had the most influence on mean adjusted length of stay; stays were more than 40% longer in detoxification centers with 35 or more beds (7.69 days) than in centers with less than 35 beds (5.42 days). The study highlights the contribution of program size to treatment processes and suggests the need for more attention to program attributes in studies of patient outcomes and treatment processes.
BT - Journal of substance abuse treatment
C5 - Opioids & Substance Use
CP - 1
CY - United States
IS - 1
JF - Journal of substance abuse treatment
N2 - Admissions to 20 publicly funded alcohol and drug detoxification centers in Massachusetts were examined to identify program and patient variables that influenced length of stay. The last admission during fiscal year 1996 was abstracted for patients 18 years of age and older seeking alcohol, cocaine, or heroin detoxification (n=21,311; 29% women). A hierarchical generalized linear model examined the effects of patient and program characteristics on variation in length of stay and tested case-mix adjustments. Program size had the most influence on mean adjusted length of stay; stays were more than 40% longer in detoxification centers with 35 or more beds (7.69 days) than in centers with less than 35 beds (5.42 days). The study highlights the contribution of program size to treatment processes and suggests the need for more attention to program attributes in studies of patient outcomes and treatment processes.
PP - United States
PY - 2005
SN - 0740-5472; 0740-5472
SP - 11
EP - 18
EP - 
T1 - Practice variation and length of stay in alcohol and drug detoxification centers
T2 - Journal of substance abuse treatment
TI - Practice variation and length of stay in alcohol and drug detoxification centers
U1 - Opioids & Substance Use
U2 - 15723727
VL - 28
VO - 0740-5472; 0740-5472
Y1 - 2005
ER -