@article{TEXTUAL,
      recid = {5526},
      author = {Guerrero, Erick G. and Amaro, Hortensia and Kong, Yinfei  and Khachikian, Tenie and Marsh, Jeanne C.},
      title = {Understanding the role of financial capacity in the  delivery of opioid use disorder treatment},
      journal = {BMC Health Services Research},
      address = {2023-02-16},
      number = {TEXTUAL},
      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.},
      url = {http://knowledge.uchicago.edu/record/5526},
}