• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Drug and alcohol review >Following the money: Mapping the sources and funding flows of alcohol and other drug treatment in Australia
【24h】

Following the money: Mapping the sources and funding flows of alcohol and other drug treatment in Australia

机译：赚钱之后：绘制澳大利亚酒精和其他毒品治疗的来源和资金流向

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction and Aims. The structures of health systems impact on patient outcomes. We present and analyse the first detailed mapping of who funds alcohol and other drug (AOD) treatment and the channels and intermediaries through which funding flows from the funding sources to treatment providers. Design and Methods. The study involved a literature review of AOD treatment financing and existing diagrammatic representations of the structure of the Australian health system. We interviewed 190 key informants to particularise the AOD treatment sector, and undertook two case examples of government funded non-government organisations providing AOD treatment. Results. Funding sources include the Australian and state and territory governments, philanthropy, fund-raising and clients themselves. While funding sources align with the health sector generally and the broader social services sector, the complexity of flows from source to treatment service and the number of intermediaries are noteworthy. So too are the many sources of funding drawn on by some treatment providers. Diversification is both beneficial and disadvantageous for non-government treatment providers, adding to administrative workloads, but smoothing the risk of funding shortfalls. Government funders benefit from sharing risk. Discussion and Conclusions. Circuitous funding flows multiply the funding sources drawn on by services and put distance between the funding source and the service provider. This leads to concerns over lack of transparency about what is being purchased and challenges for the multiply funded service provider in maintaining programs and service models amid multiple and sometimes competing funding and accountability frameworks.
机译：简介和目的。卫生系统的结构会影响患者的预后。我们介绍并分析了谁为酒精和其他毒品（AOD）治疗提供资金的第一个详细映射，以及资金从资金来源流向治疗提供者的渠道和中介。设计和方法。该研究涉及AOD治疗筹资的文献综述以及澳大利亚卫生系统结构的现有图解表示。我们采访了190名关键线人，专门介绍了AOD治疗领域，并以两个由政府资助的提供AOD治疗的非政府组织为例。结果。资金来源包括澳大利亚，州和地区政府，慈善机构，筹款和客户本身。尽管资金来源总体上与卫生部门以及更广泛的社会服务部门保持一致，但值得注意的是，从资金来源到治疗服务的资金流动的复杂性以及中介机构的数量。一些治疗提供者也利用了许多资金来源。多样化对非政府治疗提供者既有利又不利，增加了行政工作量，但缓解了资金短缺的风险。政府出资者可从分担风险中受益。讨论和结论。回的资金流使服务使用的资金来源倍增，并使资金来源与服务提供者之间的距离变远。这导致人们担心所购买的商品缺乏透明度，以及在多个且有时甚至相互竞争的资金和问责制框架中，由多个资金提供服务的服务提供商在维护程序和服务模型方面面临的挑战。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号