Medical service use and financial charges among opioid users at a public hospital
Medical service use and financial charges among opioid users at a public hospital
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DOI：
10.1016/s0376-8716(01)00182-x
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发表时间：
2002-03-01
影响因子：
4.2
通讯作者：
Perlman, DC
中科院分区：
文献类型：
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作者：
Masson, CL;Sorensen, JL;Perlman, DC
我们调查了阿片类药物使用者或依赖个人的吸毒相关感染并发症的患病率，以及与公立医院两年多的医疗护理相关的服务费用。通过计算机化医疗记录审查，确定了 3147 名患有阿片类药物使用或依赖相关诊断的个体。其中 49% 的患者因细菌感染而接受治疗，30% 的患者因药物本身的影响而出现医疗问题（例如戒断、服药过量和药物引起的精神症状）。这些患者的平均费用为 13 393 美元。几乎是研究期间非阿片类药物使用患者每位患者平均费用的 2.5 倍。诊断出与阿片类药物使用或依赖相关的患者占这一时期患者总数的 2%。但占总费用的 5%。无家可归的患者使用门诊服务的可能性较小，并且比非无家可归的患者更有可能使用急诊和住院服务。及早发现阿片类药物使用或依赖问题的患者。加上让他们参与流动预防服务的有效策略，可以分配干预措施以减少该患者群体的发病率和相关费用。研究结果表明，医疗保健提供者和政策制定者考虑制定政策，促进通过公共医疗保健系统寻求医疗服务的阿片类药物使用者使用门诊护理。 (C) 2002 Elsevier Science Ireland Ltd. 保留所有权利。
We examined the prevalence of drug use related infectious complications among opioid using or dependent individuals and service charges associated with medical care received over a 2-year period at a public hospital. A computerized medical record review was used to identify 3147 individuals with diagnoses related to opioid use or dependence. Forty-nine percent of these patients were treated for bacterial infections and 30%, presented for treatment of medical problems arising from the effects of the drugs themselves (e.g. drug withdrawal, overdoses, and drug-induced psychiatric symptoms). Mean charges were $13 393 for these patients. nearly 2.5 times the average per patient charges for non-opioid using patients during the study period. Patients with diagnoses related to opioid use or dependence comprised 2%, of the total patient population for this period. yet accounted for 5%, of total charges. Homeless patients were less likely to have used ambulatory services and were more likely than non-homeless patients to have used emergency and inpatient services. Early detection of patients with opioid use or dependence problems. coupled with effective strategies to engage them in ambulatory preventive services, Could allots interventions to reduce morbidity and associated charges in this patient Population. The findings suggest that health care providers and policy makers consider polices that promote ambulatory care use among opioid users seeking medical care through the public health care system. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.