Managed care and technical efficiency in outpatient substance abuse treatment units

This article examines (1) the extent to which managed care participation is associated with technical efficiency in outpatient substance abuse treatment (OSAT) organizations and (2) the contributions of specific managed care practices as well as other organizational, financial, and environmental attributes to technical efficiency in these organizations. Data are from a nationally representative sample survey of OSAT organizations conducted in 1995. Technical efficiency is modeled using data envelopment analysis. Overall, there were few significant associations between managed care dimensions and technical efficiency in outpatient treatment organizations. Only one managed care oversight procedure, the imposition of sanctions by managed care firms, was significantly associated with relative efficiency of these provider organizations. However, several organizational factors were associated with the relative level of efficiency including hospital affiliation, mental health center affiliation, JCAHO accreditation, receipt of lump sum revenues, methadone treatment modality, percentage clients unemployed, and percentage clients who abuse multiple drugs.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45766/1/11414_2005_Article_BF02287509.pd

Invariant distributional regularities of nonbasic spatial activity allocations: the Garin - Lowry model revisited

This paper extends the Garin - Lowry model of spatial activity allocations along its demographic dimension. The zonal distribution of activities in the nonbasic (service) sector is shown to be stable irrespective of variations in the zonal distribution of activities in the basic (export) sector. This conjectured regularity is explained by the observed similarities in the rates of consumption and in the demographic structure of the population in various zones of a region. Also variations in patterns of journeys from work to home do not appear to have a significant effect on nonbasic spatial-activity allocations.

An eco - demographic accounting-type multiplier analysis of Hungary

This paper develops a multiplier interpretation and analysis for the accounting linkage of demographic and economic variables recently proposed in Schinnar (1976a). The various components of the model are illustrated with an application to the system of Hungarian accounts of 1960 - 1961. This application reveals spectral properties of invariance for the demographic distribution which is conjectured to be associated with stable economies and provides for a new approach to international comparative studies.

A multidimensional accounting model for demographic and economic planning interactions

This paper introduces an accounting linkage designed to relate the demand for labor -- generated via an open input - output Leontief-type model -- to labor markets described by cohort-activity characteristics of population distributions. This linkage is shown to provide access to an articulated definition of market demand for labor and provides a basis for analyzing the dynamics of demographic mobility and growth as it applies to phased development planning. Possible conflicts between multiple, economic, and demographic goals are accommodated via a 'goal-programming' formulation so that the corresponding dual variables are readily available as opportunity-cost evaluators for deviations from these planning goals.

A method for computing Leontief multipliers from rectangular input - output accounts

This paper develops an iterative method for computing Leontief multipliers for use in analyses of systems of national accounts. The algorithm entails a finite number of iterations using the row and column structure of the production accounts. It is particularly suitable for evaluating the multiplier effect of technological changes in the input - output coefficients of various industries.

Effects of neighborhood grant-allocations on trade-offs among urban outcomes. Part 1: Conceptual approach and example

In this paper a framework is developed for analyzing trade-off possibilities among urban outcomes resulting from public-funded community development activities. The purpose is to identify complementarities and substitutions which exist among public service outputs (outcomes), thereby allowing a study of the implicit trade-offs among outputs which result from decisions on the allocation of community development resources. This is the first of two papers on the subject. It is intended to provide here a conceptual overview of the approach and a numerical illustration.