Evidence map›Paper›PMID 28545551›Full record

ArticleSubstance abuse treatment, prevention, and policy2017

Identifying and reducing disparities in successful addiction treatment completion: testing the role of Medicaid payment acceptance.

Erick G Guerrero, Bryan R Garner, Benjamin Cook, Yinfei Kong, William A Vega, Lillian Gelberg

Abstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
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  8. Review
  9. Alcoholism treatment quarterly · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Erick G GuerreroSuzanne Dworak-Peck School of Social Work and Marshall School of Business, University of Southern California, 655 West 34th Street, Los Angeles, CA, 90089, USA. erickgue@usc.edu.ORCID 0000-0003-3086-5710
Bryan R GarnerRTI, 3040 East Cornwallis Road, Durham, NC, 27709, USA.
Benjamin CookDepartment of Psychiatry, Harvard Medical School, 2 West Room 305, 401 Park Drive, Boston, MA, 02215, USA.
Yinfei KongMihaylo College of Business and Economics, California State University, Fullerton, Fullerton, CA, 90089, USA.
William A VegaDepartment of Preventive Medicine, Keck School of Medicine, and Suzanne Dworak-Peck School of Social Work, University of Southern California, 655 West 34th Street, Los Angeles, CA, 90089, USA.
Lillian GelbergDepartment of General Medicine, University of California, Los Angeles, Los Angeles, CA, 90025, USA.

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Detection, Understanding and Reduction of Latino Health Care DisparitiesR01DA038608 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GARNER, BRYAN R, GUERRERO, ERICK · 2015 to 2017
$746k
NIDA NIH HHS R01 DA038608NIMH NIH HHS R25 MH080916
6 · The paper itself

Abstract

backgroundMedicaid has become the largest payer of substance use disorder treatment and may enhance access to quality care and reduce disparities. We tested whether treatment programs' acceptance of Medicaid payments was associated with reduced disparities between Mexican Americans and non-Latino Whites.

methodsWe analyzed client and program data from 122 publicly funded treatment programs in 2010 and 112 programs in 2013. These data were merged with information regarding 15,412 adult clients from both periods, of whom we selected only Mexican Americans (n = 7130, 46.3%) and non-Latino Whites (n = 8282, 53.7%). We used multilevel logistic regression and variance decomposition to examine associations and underlying factors associated with Mexican American and White differences in treatment completion. Variables of interest included client demographics; drug use severity and mental health issues; and program license, accreditation, and acceptance of Medicaid payments.

resultsMexican Americans had lower odds of treatment completion (OR = 0.677; 95% CI = 0.534, 0.859) compared to non-Latino Whites. This disparity was explained in part by primary drug used, greater drug use severity, history of mental health disorders, and program acceptance of Medicaid payments. The interaction between Mexican Americans and acceptance of Medicaid was statistically significant (OR = 1.284; 95% CI = 1.008, 1.637).

conclusionsFindings highlighted key program and client drivers of this disparity and the promising role of program acceptance of Medicaid payment to eliminate disparities in treatment completion among Mexican Americans. Implications for health policy during the Trump Administration are discussed.

Indexed as

MedicaidAccreditationAdultCross-Sectional StudiesFemaleHealthcare DisparitiesHispanic or LatinoHumansLicensureMalePatient ComplianceSubstance Abuse Treatment CentersUnited StatesWhite PeopleYoung AdultDisparitiesMedicaidRacial and ethnic groupsSuccessful treatment completion

Identifiers

PMID28545551
PMCPMC5445402

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.