Epidemiology, health systems research, and statistics/data systems / report of an ADAMHA workgroup.

  • United States. Alcohol, Drug Abuse, and Mental Health Administration.
Date:
1978
Catalogue details

Licence: Public Domain Mark

Credit: Epidemiology, health systems research, and statistics/data systems / report of an ADAMHA workgroup. Source: Wellcome Collection.

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    Ce ae sociodemographic indicators, rates under treatment, key informant interviews, and direct surveys. The latter include epidemiological surveys to determine the prevalence of specific disorders or health-related problems. Assessment of the supply of health resources. i. Facilities and Services: Research relating to deter- mining the amounts and types of services available and their efficiency, productivity and output; the appro- priateness of the services and the relationship of the amount of available service to service need or demand; measurement of service utilization; development of criteria and standards for adequate service levels of different types; and projections of need or demand for services and their supply. ii. Manpower: Research relating to the supply, demand, production, and utilization of manpower; manpower geo- graphic and disciplinary distribution; the costs and financing of training; and evaluation of training pro- grams, staffing, standards, and related topics. Assessment of costs and financing of care: Research relating to the direct and indirect cost of health problems; the bene- fits of control programs; returns from investment in education and training; factors influencing the supply, demand, prices and costs of health care; and the financing of care. The latter area involves the assessment of practices such as the use of services by insured vs. the noninsured; the effect of introducing insurance coverage on price, supply, and demand for services; the substitution of services and/or providers; and the impact of differential coverage on the utilization, accessibility, and equity of services. Cost benefit, cost effectiveness, and cost outcome studies are generally included under this rubric. Systems analysis: Research relating to the broad health system, the interaction of its parts, and with its environ- ment, such as: the relation between economies of scale and accessibility of services; the impact of financing mechanisms on the redistribution of services; changes in the mix and composition of services over time; the appropriate balance of care provided in the specialty ADM vs. the general health sector and the social services sector; and the adequacy and amount of care provided in the general health sector for specific ADM disorders. wes gus