Predicting readmission to substance abuse treatment using state information systems - The impact of client and treatment characteristics
Predicting readmission to substance abuse treatment using state information systems - The impact of client and treatment characteristics
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DOI：
10.1016/s0899-3289(00)00055-9
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发表时间：
2000-01-01
期刊：
影响因子：
--
通讯作者：
Stark, KD
中科院分区：
文献类型：
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作者：
Luchansky, B;He, LJ;Stark, KD
本研究的目的是利用入院药物滥用治疗的管理记录来为华盛顿州公共资助的客户构建护理事件，然后分析指数事件后的重新入院治疗情况。研究人群是那些在 1995 年开始和结束索引发作的客户 (N = 10,284)。人群被分为两组，根据华盛顿州酒精和药物滥用部门 (DASA) [酒精和药物滥用治疗和支持法案 (ADATSA) 和非 ADTSA，以定义这些项目的立法命名] 运行的项目分别进行分析。每个项目的客户都接受了 13 个月的随访，并使用比例风险回归来估计我们的治疗措施和再入院之间的关系，并控制了几个协变量。我们根据治疗的几个方面对客户进行了比较，但我们的主要兴趣是将完成指数事件的客户与未完成指数事件的客户进行比较。对于 ADATSA 和非 ADATSA 患者来说，完成治疗的患者再次入院的风险显着降低。女性和治疗前一年被捕的人再入院的风险增加，而男性和接受住院和门诊治疗相结合的人再入院的风险较低。讨论最后提出了改善全州护理系统的建议。 (C) 2001 爱思唯尔科学公司。版权所有。
The purpose of this Study was to use administrative records of admissions to substance abuse treatment to construct episodes of care for publicly funded clients in Washington State, and then to analyze readmissions to treatment after an index episode. The study population was those clients who began and ended an index episode in 1995 (N = 10,284). The population was divided into two groups, which were separately analyzed based on programs run by the Washington State Division of Alcohol and Substance Abuse (DASA) [Alcohol and Drug Abuse Treatment and Support Act (ADATSA) and Non-ADATSA, named for legislation defining these programs]. Clients in each program were followed for 13 months, and proportional hazards regression was used to estimate the relationship between our treatment measures and readmission, controlling for several covariates. We compared clients based on several aspects of treatment, but our primary interest was in comparing clients that completed the index episode with these that did not complete it. For both ADATSA and Non-ADATSA clients, those completing their episode of treatment had significantly lower risks for readmission. Females and those arrested in the year prior to treatment had increased risks of readmission, while males and those receiving a combination of inpatient and outpatient treatments had lower risks of readmission. The discussion concludes with suggestions for improving statewide systems of care. (C) 2001 Elsevier Science inc. All rights reserved.