Laugharne R, Byford S, Barber J A, Burns T, Walsh E, Marshall S, Tyrer P
Department of General Psychiatry, St George's Hospital Medical School, London, UK.
Acta Psychiatr Scand. 2002 Sep;106(3):241-6. doi: 10.1034/j.1600-0447.2002.02311.x.
Alcohol misuse in psychotic patients is common and leads to poor treatment outcome. This study examines the relationship between alcohol consumption and cost of care in patients with a severe psychotic illness.
Patient care was evaluated over 2 years for 708 patients. Patient reported alcohol consumption was evaluated at initial interview. The outcome measure was cost of care over 2 years.
There was no difference in mean cost of care between non-drinkers, moderate and heavy drinkers. Increased alcohol consumption (measured as a continuous variable, adjusted for baseline characteristics) was associated with lower cost of care.
Heavier alcohol consumers did not incur more treatment costs and may, indeed, cost less than other patients. This may reflect higher levels of drinking being associated with better overall functioning, poorer engagement with services or exclusion from services.
精神病患者滥用酒精的情况很常见，且会导致治疗效果不佳。本研究探讨了患有严重精神疾病的患者饮酒与护理成本之间的关系。
对708名患者进行了为期2年的患者护理评估。在初次访谈时评估患者报告的饮酒情况。结果指标是2年的护理成本。
不饮酒者、适度饮酒者和重度饮酒者的平均护理成本没有差异。饮酒量增加（作为连续变量测量，并根据基线特征进行调整）与较低的护理成本相关。
饮酒量较大的患者不会产生更多的治疗成本，实际上，其花费可能比其他患者更少。这可能反映出较高的饮酒水平与更好的整体功能、较差的服务参与度或被排除在服务之外有关。
