To examine the relationships among general management systems, patient‐focused quality management/continuous process improvement (/) processes, resource availability, and multiple dimensions of substance use disorder () treatment.
Data are from a nationally representative sample of 221 treatment centers through the ational reatment enter tudy ().
The design was a cross‐sectional field study using latent variable structural equation models. The key variables are management practices, /continuous quality improvement () practices, resource availability, and treatment center performance.
Interviews and questionnaires provided data from treatment center administrative directors and clinical directors in 2007–2008.
Patient‐focused / practices fully mediated the relationship between internal management practices and performance. The effects of / on performance are significantly larger for treatment centers with higher levels of staff per patient.
Internal management practices may create a setting that supports implementation of specific patient‐focused practices and protocols inherent to / processes. However, the positive effects of internal management practices on treatment center performance occur through use of specific patient‐focused / practices and have more impact when greater amounts of supporting resources are present.
Data Sources/Study Setting