The influence of distance on utilization of outpatient mental health aftercare following inpatient substance abuse treatment
The influence of distance on utilization of outpatient mental health aftercare following inpatient substance abuse treatment
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DOI：
10.1016/s0306-4603(02)00218-6
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发表时间：
2003-08-01
影响因子：
4.4
通讯作者：
Piette, JD
中科院分区：
文献类型：
--
作者：
Schmitt, SK;Phibbs, CS;Piette, JD
本研究探讨了物质滥用患者谁住得更远，从他们的门诊精神卫生保健的来源是否不太可能获得善后住院治疗事件。对于那些接受善后护理的患者，距离被评估为接受护理量的预测因子。使用两部分选择模型，利用logistic和线性回归分析了从退伍军人事务部（VA）住院药物滥用治疗计划出院的33，952名退伍军人的全国样本。居住在远离门诊精神卫生保健来源的患者不太可能在住院药物滥用治疗后获得善后护理。旅行10英里或更少的患者获得善后护理的可能性是旅行50英里以上的患者的2.6倍。只有40%的病人住在离最近的善后设施超过25英里的地方，得到了任何善后服务。接受善后服务的病人，如果他们住得离他们的善后服务的来源更远，访问量就更少。缺乏地理位置（距离）是住院药物滥用治疗后门诊心理健康护理的障碍，并且一旦决定获得善后护理，就会影响所接受的护理量。善后服务必须在地理上可以到达，以确保令人满意的利用。爱思唯尔科技有限公司出版
This study examined whether substance abuse patients who live farther from their source of outpatient mental health care were less likely to obtain aftercare following an inpatient treatment episode. For those patients who did receive aftercare, distance was evaluated as a predictor of the volume of care received. A national sample of 33,952 veterans discharged from Department of Veterans Affairs (VA) inpatient substance abuse treatment programs was analyzed using a two-part choice model utilizing logistic and linear regression. Patients living farther from their source of outpatient mental health care were less likely to obtain aftercare following inpatient substance abuse treatment. Patients who traveled 10 miles or less were 2.6 times more likely to obtain aftercare than those who traveled more than 50 miles. Only 40% of patients who lived more than 25 miles from the nearest aftercare facility obtained any aftercare services. Patients who received aftercare services had fewer visits if they lived farther from their source of aftercare. Lack of geographic access (distance) is a barrier to outpatient mental health care following inpatient substance abuse treatment, and influences the volume of care received once the decision to obtain aftercare is made. Aftercare services must be geographically accessible to ensure satisfactory utilization. Published by Elsevier Science Ltd.