The Relationship Between End-of-Treatment Alcohol Use and Subsequent Healthcare Costs: Do Heavy Drinking Days Predict Higher Healthcare Costs?
The Relationship Between End-of-Treatment Alcohol Use and Subsequent Healthcare Costs: Do Heavy Drinking Days Predict Higher Healthcare Costs?
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DOI：
10.1111/acer.13054
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发表时间：
2016-05-01
影响因子：
3.2
通讯作者：
Bray, Jeremy W.
中科院分区：
文献类型：
--
作者：
Aldridge, Arnie P.;Zarkin, Gary A.;Bray, Jeremy W.
背景评价酒精治疗效果的一个挑战是确定什么是良好的结果或有意义的改善。在治疗结束时戒酒无疑是一个好的结果;然而，对戒酒的关注忽视了患者将饮酒减少到问题较少的水平的潜在好处。患者在治疗结束时可能处于低风险水平，但可能是高功能的，并且几乎没有社会成本。在这项研究中，我们估计饮酒结束时的联合收割机治疗和随后的医疗保健费用之间的关系，重点是重型和nonheavy drinking levels.MethodsIndicators重型饮酒天（HDDs; 5+饮料的男性，4+女性）和nonheavy drinking天（非HDDs）在过去30天的组合治疗的748例患者参加了联合收割机经济研究。广义线性模型用于模拟联合收割机治疗后的总成本作为饮酒指标的函数。不同的型号规格分析了HDD的替代计数（例如，1例HDD和2 ~ 30例HDD），以及同时患有非HDD和HDD的组。
BackgroundA challenge for evaluating alcohol treatment efficacy is determining what constitutes a good outcome or meaningful improvement. Abstinence at the end of treatment is an unambiguously good outcome; however, a focus on abstinence ignores the potential benefits of patients reducing their drinking to less problematic levels. Patients may be drinking at low-risk levels at the end of treatment but may be high-functioning and impose few social costs. In this study, we estimate the relationship between drinking at the end of COMBINE treatment and subsequent healthcare costs with an emphasis on heavy and nonheavy drinking levels.MethodsIndicators of heavy drinking days (HDDs; 5+drinks for men, 4+for women) and nonheavy drinking days (non-HDDs) during the last 30days of COMBINE treatment were constructed for 748 patients enrolled in the COMBINE Economic Study. Generalized linear models were used to model total costs following COMBINE treatment as a function of drinking indicators. Different model specifications analyzed alternative counts of HDDs (e.g., 1 HDD and 2 to 30 HDDs), and groups having Both non-HDDs and HDDs.ResultsPatients with HDDs had 66.4% (p