Aim: To explore the goals and outcomes of public procurement of drug treatment services in OECD countries. The study explores how these complex services are procured and delivered. Methods and data: A systematic review of the literature (1990-2020) identified four partly overlapping models of drug treatment service procurement that are here labelled traditional, value-based, outcome-based, and innovative. Results: Even though different forms of drug treatment services procurement are common, only 12 empirical studies that focused on procurement were found. The four models differ in their approaches to design and performance specifications and the role of competition and collaboration in the co-creation of value. Conclusions: Competition and incentives improve neither the efficiency nor the quality or the outcomes of complex drug treatment services. Whereas many studies focus on payment mechanisms, there are important research gaps that relate to the co-creation of value with and for the service-users and other stakeholders.

中文翻译：

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戒毒治疗服务采购：模型、目标和结果的系统审查。

目的：探讨经合组织国家公共采购戒毒治疗服务的目标和成果。该研究探讨了如何采购和提供这些复杂的服务。方法和数据：对文献（1990-2020）的系统回顾确定了四种部分重叠的戒毒治疗服务采购模式，这些模式在这里被标记为传统的、基于价值的、基于结果的和创新的。结果：尽管不同形式的戒毒治疗服务采购很常见，但仅发现 12 篇针对采购的实证研究。这四种模型的不同之处在于设计和性能规范的方法以及竞争与协作在共同创造价值中的作用。结论：竞争和激励既不能提高复杂戒毒治疗服务的效率，也不能提高质量或结果。尽管许多研究都集中在支付机制上，但在与服务用户和其他利益相关者共同创造价值以及为服务用户和其他利益相关者共同创造价值方面存在重要的研究空白。