Understanding the role of financial capacity in the delivery of opioid use disorder treatment
Abstract Opioid treatment programs must have adequate financial capacity to sustain operations and deliver a high standard of care for individuals suffering from opioid use disorder. However, there is limited consistency in the health services literature about the concept and relationship of organiz...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09179-z |
| _version_ | 1827984787451674624 |
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| author | Erick G. Guerrero Hortensia Amaro Yinfei Kong Tenie Khachikian Jeanne C. Marsh |
| author_facet | Erick G. Guerrero Hortensia Amaro Yinfei Kong Tenie Khachikian Jeanne C. Marsh |
| author_sort | Erick G. Guerrero |
| collection | DOAJ |
| description | Abstract Opioid treatment programs must have adequate financial capacity to sustain operations and deliver a high standard of care for individuals suffering from opioid use disorder. However, there is limited consistency in the health services literature about the concept and relationship of organizational financial capacity and key outcome measures (wait time and retention). In this study, we explored five common measures of financial capacity that can be applied to opioid treatment programs: (a) reserve ratio, (b) equity ratio, (c) markup, (d) revenue growth, and (e) earned revenue. We used these measures to compare financial capacity among 135 opioid treatment programs across four data collection points: 2011 (66 programs), 2013 (77 programs), 2015 (75 programs), and 2017 (69 programs). We examined the relationship between financial capacity and wait time and retention. Findings from the literature review show inconsistencies in the definition and application of concepts associated with financial capacity across business and social service delivery fields. The analysis shows significant differences in components of financial capacity across years. We observed an increase in average earned revenue and markup in 2017 compared to prior years. The interaction between minorities and markup was significantly associated with higher likelihood of waiting (IRR = 1.077, p < .05). Earned revenue (IRR = 0.225, p < .05) was related to shorter wait time in treatment. The interaction between minorities and equity ratio is also significantly associated with retention (IRR = 0.796, p < .05). Our study offers a baseline view of the role of financial capacity in opioid treatment and suggests a framework to determine its effect on client-centered outcomes. |
| first_indexed | 2024-04-09T23:04:25Z |
| format | Article |
| id | doaj.art-b52efd90638745619bb860acaedb0585 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-09T23:04:25Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-b52efd90638745619bb860acaedb05852023-03-22T10:48:11ZengBMCBMC Health Services Research1472-69632023-02-012311910.1186/s12913-023-09179-zUnderstanding the role of financial capacity in the delivery of opioid use disorder treatmentErick G. Guerrero0Hortensia Amaro1Yinfei Kong2Tenie Khachikian3Jeanne C. Marsh4Research to End Health Disparities Corp, I-Lead InstituteHerbert Werthein College of Medicine and Robert Stempel College of Public Health and Social Work, Florida International UniversityCollege of Business and Economics, California State University FullertonCrown Family School of Social Work, Policy, and Practice, University of ChicagoCrown Family School of Social Work, Policy, and Practice, University of ChicagoAbstract Opioid treatment programs must have adequate financial capacity to sustain operations and deliver a high standard of care for individuals suffering from opioid use disorder. However, there is limited consistency in the health services literature about the concept and relationship of organizational financial capacity and key outcome measures (wait time and retention). In this study, we explored five common measures of financial capacity that can be applied to opioid treatment programs: (a) reserve ratio, (b) equity ratio, (c) markup, (d) revenue growth, and (e) earned revenue. We used these measures to compare financial capacity among 135 opioid treatment programs across four data collection points: 2011 (66 programs), 2013 (77 programs), 2015 (75 programs), and 2017 (69 programs). We examined the relationship between financial capacity and wait time and retention. Findings from the literature review show inconsistencies in the definition and application of concepts associated with financial capacity across business and social service delivery fields. The analysis shows significant differences in components of financial capacity across years. We observed an increase in average earned revenue and markup in 2017 compared to prior years. The interaction between minorities and markup was significantly associated with higher likelihood of waiting (IRR = 1.077, p < .05). Earned revenue (IRR = 0.225, p < .05) was related to shorter wait time in treatment. The interaction between minorities and equity ratio is also significantly associated with retention (IRR = 0.796, p < .05). Our study offers a baseline view of the role of financial capacity in opioid treatment and suggests a framework to determine its effect on client-centered outcomes.https://doi.org/10.1186/s12913-023-09179-zFinancial capacityMedicaidAccessEngagementOpioid use disorder treatment |
| spellingShingle | Erick G. Guerrero Hortensia Amaro Yinfei Kong Tenie Khachikian Jeanne C. Marsh Understanding the role of financial capacity in the delivery of opioid use disorder treatment BMC Health Services Research Financial capacity Medicaid Access Engagement Opioid use disorder treatment |
| title | Understanding the role of financial capacity in the delivery of opioid use disorder treatment |
| title_full | Understanding the role of financial capacity in the delivery of opioid use disorder treatment |
| title_fullStr | Understanding the role of financial capacity in the delivery of opioid use disorder treatment |
| title_full_unstemmed | Understanding the role of financial capacity in the delivery of opioid use disorder treatment |
| title_short | Understanding the role of financial capacity in the delivery of opioid use disorder treatment |
| title_sort | understanding the role of financial capacity in the delivery of opioid use disorder treatment |
| topic | Financial capacity Medicaid Access Engagement Opioid use disorder treatment |
| url | https://doi.org/10.1186/s12913-023-09179-z |
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