患有酒精或药物滥用相关诊断的木匠家庭的医疗保健利用情况。
Health care utilization of families of carpenters with alcohol or substance abuse-related diagnoses.
作者信息
Lipscomb Hester J, Dement John M, Li Leiming
机构信息
Division of Occupational and Environmental Medicine, Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.
出版信息
Am J Ind Med. 2003 Apr;43(4):361-8. doi: 10.1002/ajim.10214.
BACKGROUND
Patterns of health care utilization of families of carpenters with and without alcohol and/or substance abuse related diagnoses (ASRD) were compared.
METHODS
Utilization data for families of 13,657 carpenters for a 10 year period were analyzed. Concordance of diagnoses among family members was assessed and proportionate utilization ratios were used to compare the experiences of families of carpenters with and without ASRD.
RESULTS
Twenty-eight percent of the spouses with ASRD had a carpenter spouse with a similar diagnosis. Twenty-four percent of the families with a child with ASRD had a parent with one of these diagnoses compared to 9.4% of families without any children with ASRD (P < 0.0001). Families of carpenters with alcohol or ASRD also had different patterns of health care utilization.
CONCLUSIONS
Utilization patterns were influenced to a significant degree by concordant diagnoses among spouses and children. Excess mental health care was seen among families of carpenters with ASRD above their care for substance abuse treatment.
背景
比较了有和没有酒精和/或药物滥用相关诊断（ASRD）的木匠家庭的医疗保健利用模式。
方法
分析了13657名木匠家庭在10年期间的利用数据。评估了家庭成员之间诊断的一致性，并使用比例利用比率来比较有和没有ASRD的木匠家庭的经历。
结果
患有ASRD的配偶中有28%的人其木匠配偶有类似诊断。有患有ASRD孩子的家庭中，24%的家庭有一位父母患有这些诊断之一，而没有任何患有ASRD孩子的家庭这一比例为9.4%（P<0.0001）。有酒精或ASRD的木匠家庭也有不同的医疗保健利用模式。
结论
利用模式在很大程度上受到配偶和孩子之间一致诊断的影响。患有ASRD的木匠家庭在心理健康护理方面的使用超过了他们在药物滥用治疗方面的护理。
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