Maylath E, Seidel J, Schlattmann P
Medical Services Department, Statutory Health Insurance Authority, Hamburg, Germany.
Eur Addict Res. 2000 Jun;6(2):79-83. doi: 10.1159/000019014.
In a psychiatric/ecological study, the authors investigated which aspects of a town district would provide an explanation to the fact that alcoholics are treated above average in addiction-psychiatric wards in a given city district, while in other districts treatment is carried out in internal medical wards. The research was based on data collected between 1988 and 1994 from approximately 77% of all patients suffering from alcohol and legal drug abuse (n = 15,473) in 41 hospitals in Hamburg. It was established that in somatic departments, mainly internal medicine, 70% of male and 67% of female patients were admitted for alcohol and legal drug abuse. The results of a geographical analysis of hospitalization risks showed that the addiction-psychiatric facilities of psychiatric wards are mainly utilized by inhabitants from nearby districts. Risks of above-average hospitalization for alcoholics and legal drug abusers in internal wards, as well as insufficient addiction-psychiatric care, are to be expected in town districts where a shortage of psychiatrists exists, and where the unemployment rate is high. In these crucial areas, addiction-specific facilities, such as qualified programs for detoxication or techniques for short intervention, should be established within the framework of an addiction-specific liaison service in general hospitals.
在一项精神病学/生态学研究中，作者调查了城区的哪些方面能够解释为何在某特定城区，酗酒者在成瘾精神病病房接受治疗的比例高于平均水平，而在其他城区则在内科病房接受治疗。该研究基于1988年至1994年间从汉堡41家医院中约77%的酒精及合法药物滥用患者（n = 15473）收集的数据。研究发现，在躯体科室，主要是内科，70%的男性患者和67%的女性患者因酒精及合法药物滥用入院。住院风险的地理分析结果表明，精神病病房的成瘾精神病设施主要被附近城区的居民使用。在精神病医生短缺且失业率高的城区，预计内科病房中酗酒者和合法药物滥用者的住院率会高于平均水平，同时成瘾精神病护理也不足。在这些关键地区，应在综合医院的成瘾专科联络服务框架内建立特定成瘾设施，如合格的戒毒项目或短期干预技术。
