A practical system for monitoring the outcomes of substance use disorder patients
Open accessAbstract
Outcomes monitoring and management are receiving mounting attention because of increased emphasis on health care accountability and cost containment. Efficient, practical outcomes monitoring systems (OMSs) are crucial if health care system performance is to be determined and effective/cost-effective treatments are to be identified, but such practical monitoring systems generally are lacking. This article describes the features of such a system for monitoring the care received by, and the substance use and psychosocial outcomes of, patients treated for substance use disorders (SUDs) in the Department of Veterans Affairs (VA). In contrast to a 15-21% follow-up rate achieved by VA SUD program staff under a previously mandated system-wide monitoring system, the monitoring system used in this project achieved a 67% follow-up rate without paying patients for their participation. We provide data on patient characteristics and treatment outcomes, estimate the cost of implementing this type of monitoring system on a broad scale, and provide recommendations for OMSs in other large health care organizations.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The 56% follow-up rate in this study compares favorably against those obtained by clinical or research personnel within large VA SAT outcomes initiatives (Tiet et al., 2006).
“Second, the 56% follow-up rate in this study compares favorably against those obtained by clinical or research personnel within large VA SAT outcomes initiatives (Tiet et al., 2006).”
From Development and initial evaluation of the Brief Addiction Monitor (BAM) (2013) · cites this paper as Tiet et al., 2006
The Outcomes monitoring section and Discussion report that VA clinical staff achieved follow-up rates of 15–21%, so 56% compares favorably with those rates. But the paper’s own project staff achieved 66.8% (Results, §3.3), so it does not support a favorable comparison with that research-staff initiative. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 38 · Cited by 60
- Authors
- Tiet, Q. Q., Byrnes, H. F., Barnett, P., & Finney, J. W.
- Affiliations
- VA Palo Alto Health Care System (US)
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2006-06
- Volume
- 30
- Issue
- 4
- Pages
- 337-347
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2147766481
- Cited by
- 60
- References
- 38
- Citations by year
- 2026: 1 · 2023: 1 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 5 · 2012: 4
- FWCI
- 8.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Services Research and Development
- Quality Enhancement Research Initiative
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- substance use disorders, veterans, follow-up rates, psychosocial outcomes, treatment outcomes, cost containment, health care accountability, Department of Veterans Affairs
- MeSH terms
- Adolescent, Adult, Follow-Up Studies, Humans, Pilot Projects, United States, United States Department of Veterans Affairs, Veterans, Outcome Assessment, Health Care, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
