Inpatient Addiction Consult Service: Expertise for Hospitalized Patients with Complex Addiction Problems
Inpatient Addiction Consult Service: Expertise for Hospitalized Patients with Complex Addiction Problems
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DOI：
10.1016/j.mcna.2018.03.001
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发表时间：
2018-07-01
影响因子：
5.9
通讯作者：
Nolan, Seonaid
中科院分区：
文献类型：
--
作者：
Weinstein, Zoe M.;Wakeman, Sarah E.;Nolan, Seonaid
物质使用障碍非常普遍，是昂贵的住院医疗费用的主要驱动因素；然而，从历史上看，药物使用障碍在住院期间没有得到解决。住院成瘾咨询服务是一项重要的干预措施，利用可到达的住院时刻，让患者参与并开始成瘾治疗。成瘾咨询包括采取成瘾特定的历史，动机访谈，戒断症状管理，并开始长期药物治疗。成瘾咨询服务有可能减少医疗系统的再入院和使用成本，并改善患者的药物相关结果。
Substance use disorders are highly prevalent and are a large driver of costly inpatient medical care; however, historically the substance use disorder has gone unaddressed during an inpatient stay. Inpatient addiction consult services are an important intervention to use the reachable moment of hospitalization to engage patients and initiate addiction treatment. Addiction consultation involves taking an addiction-specific history, motivational interviewing, withdrawal symptom management, and initiation of long-term pharmacotherapy. Addiction consult services have the potential to decrease readmissions and utilization costs for medical systems and improve substance-related outcomes for patients.