Outpatient treatment entry and health care utilization after a combined medical/substance abuse intervention for hospitalized medical patients.
Outpatient treatment entry and health care utilization after a combined medical/substance abuse intervention for hospitalized medical patients.
复制标题
对住院患者进行医疗/药物滥用联合干预后的门诊治疗进入和医疗保健利用。
DOI：
10.1046/j.1525-1497.2002.10638.x
复制
发表时间：
2002
影响因子：
5.7
通讯作者：
Barnhart,Matthew
中科院分区：
文献类型：
--
作者：
O'Toole,ThomasP;Strain,EricC;Wand,Gary;McCaul,MaryE;Barnhart,Matthew
背景：滥用药物的患者利用大量的卫生服务资源，但急性医疗住院通常没有被有效地用于从事患者在物质滥用treatment. CAPTIVES：为了评估综合药物滥用/急性医疗护理日间医院（DH）intervention.DESIGN和设置的效果：前瞻性，连续的图表审查的患者转介到一个日间医院计划从医学服务在城市三级医疗教学医院。从转介队列，对照组接受常规careeridentified.PARTICIPANTS：120成人内科住院患者与活性物质滥用和自我认定的动机进入treatment.MAIN结果METHODS：门诊药物滥用治疗条目和干预后的卫生服务utilization.RESULTS：继DH治疗，50.6%进入进一步的门诊药物滥用治疗（与2.4%比较患者;P<0.001）。DH患者的门诊就诊次数显著增加（6个月前0.49 vs 6个月后3.46;P<0.001），大于对照患者的变化。然而，有没有差异，注意到在住院前或急诊科的利用率以下的DH intervention.Conclusions：一个DH程序的药物滥用住院治疗的病人，介绍药物滥用治疗急性内科疾病治疗过程中出现改善门诊药物滥用治疗的条目和门诊护理利用出院后。
CONTEXT:Drug-abusing patients utilize extensive amounts of health services resources, yet the acute medical hospitalization has typically not been used effectively to engage patients in substance abuse treatment.OBJECTIVES:To assess the effect of an integrated substance abuse/acute medical care day hospital (DH) intervention.DESIGN AND SETTING:Prospective, consecutive chart review of patients referred to a day hospital program from the medicine service at an urban tertiary care teaching hospital. From the referral cohort, a comparison group receiving usual care was identified.PARTICIPANTS:One hundred twenty adult medicine inpatients with active substance abuse and self-identified motivation to enter treatment.MAIN OUTCOME MEASURES:Outpatient substance abuse treatment entry and post-intervention health services utilization.RESULTS:Following DH treatment, 50.6% entered further outpatient substance abuse treatment (vs 2.4% comparison patients;P<.001). There was a significant increase in ambulatory medical visits for DH patients (pre-6 month 0.49 vs post-6 month 3.46;P<.001), greater than the change noted for comparison patients. However, there was no difference noted in pre-post hospitalization or emergency department utilization following the DH intervention.CONCLUSIONS:A DH program for substance abusing hospitalized medicine patients that introduces substance abuse treatment during treatment for an acute medical illness does appear to improve outpatient substance abuse treatment entry and ambulatory care utilization after hospital discharge.