Impact of alcoholism treatment on total health care costs: a six-year study.
Impact of alcoholism treatment on total health care costs: a six-year study.
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酗酒治疗对总医疗保健费用的影响：一项为期六年的研究。
DOI：
10.1300/j251v06n01_01
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发表时间：
1986
期刊：
影响因子：
--
通讯作者：
J. Hallan
中科院分区：
文献类型：
--
作者：
H. Holder;J. Hallan
这是一项为期六年的纵向研究，旨在确定将酗酒作为主要诊断的治疗是否会降低酗酒者以及其他非酗酒家庭成员的总医疗保健成本和/或利用率。跟踪了 90 个家庭（代表 245 名个人）的所有医疗保健费用和利用率，这些家庭通过加州公共雇员退休系统健康福利部门加入了 Blue Cross/Blue Shield。从1974年7月1日到1975年12月1日，每个家庭中至少有一名成员接受了具体诊断为酗酒的治疗。所有医疗保健利用率和费用均是在首次酗酒治疗之前的12个月内和截至1979年7月1日期间获得的。此外，还选择了一个由83个没有酗酒成员的对照家庭组成的匹配组，涵盖了291人，以反映家庭组成、年龄和性别。获得了这些家庭在同一时期内的总体医疗保健数据。结果表明，在酗酒治疗开始后，非酗酒家庭成员和酗酒家庭成员的各种形式住院护理的利用率和费用均有所下降，并最终达到与匹配对照组相似的水平。平均而言，酗酒者家庭所有成员的门诊护理频率和费用也有所下降；并以类似的方式在第四个后续阶段收敛到匹配的比较家庭。在开始对酗酒的家庭成员进行治疗后，每个家庭成员的总医疗保健费用随着时间的推移大幅下降。研究结果支持这样的观点，即直接治疗酗酒可以显着降低酗酒者及其家人的总医疗保健成本和利用率。
This is a six-year longitudinal study to determine if the treatment of alcoholism as a primary diagnosis results in a reduction of total health care cost and/or utilization for the alcoholic as well as other nonalcoholic family members. All health care costs and utilization were tracked for a group of 90 families, representing 245 individuals, enrolled with Blue Cross/Blue Shield through the Health Benefits Division, California Public Employees Retirement System. At least one member in each family received treatment under a specific diagnosis of alcoholism from July 1, 1974 to December 1, 1975. All health care utilization and costs were obtained for a 12-month period before initial treatment for alcoholism and up to July 1, 1979. In addition, a matched group of 83 comparison families with no alcoholic members and covering 291 persons was selected to reflect family composition, age, and sex. Total health care data were obtained over the same time period for these families. The results indicated that utilization and costs of all forms of inpatient care for both nonalcoholic family members as well as alcoholic family members dropped after alcoholism treatment began and ultimately reached a level similar to the matched comparison group. On the average, outpatient care also decreased in terms of frequency and costs for all members of the alcoholic's family; and in similar fashion converged in the fourth follow-up period to the matched comparison families. Total health care costs per family member decreased substantially over time following initiation of treatment of the alcoholic family member. The findings support the contention that the direct treatment of alcoholism can yield significant reductions in total health care costs and utilization not only for the alcoholic but his/her family members as well.