naa a22 4500 510782000 CHVBK 20180411083250.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s11414-013-9340-4 doi (NATIONALLICENCE)springer-10.1007/s11414-013-9340-4 Community Context and Healthcare Quality: The Impact of Community Resources on Licensing and Accreditation of Substance Abuse Treatment Agencies [Elektronische Daten] [Matthew Archibald, Caddie Putnam Rankin] This study examines variation in healthcare quality among substance abuse treatment agencies. Using an organizations framework, the authors predict that resource advantages benefit certain types of healthcare organizations, especially those located in affluent communities. As a result, levels of licensing and accreditation of substance abuse treatment agencies will differ across United States counties. The authors model these resources at both the organizational and community levels in an effort to understand the variability of licensing and accreditation between agencies and their local contexts. In multivariate models, the findings confirm that organizational characteristics such as private ownership (compared to public ownership), managed care contracts, inpatient and residential programs (compared to outpatient settings), as well as socioeconomic, racial/ethnic, and healthcare system advantage promote higher levels of licensing and accreditation. Public ownership and outpatient settings, as well as socioeconomic, racial/ethnic, and healthcare system disadvantage, are associated with lower levels of licensing and accreditation. National Council for Community Behavioral Healthcare, 2013 Archibald Matthew Department of Sociology, Colby College, Waterville, ME, USA aut Putnam Rankin Caddie Organizational Leadership Program, University of Maryland Eastern Shore, Princess Anne, MD, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/4(2013-10-01), 442-456 1094-3412 40:4<442 2013 40 11414 https://doi.org/10.1007/s11414-013-9340-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-013-9340-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Archibald Matthew Department of Sociology, Colby College, Waterville, ME, USA aut NATIONALLICENCE 700 1- Putnam Rankin Caddie Organizational Leadership Program, University of Maryland Eastern Shore, Princess Anne, MD, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/4(2013-10-01), 442-456 1094-3412 40:4<442 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer