Goodman A C, Holder H D, Nishiura E, Hankin J R
Department of Economics, Wayne State University, Detroit, MI 48202.
Med Care. 1992 Dec;30(12):1097-110. doi: 10.1097/00005650-199212000-00003.
In this study, a discrete choice model of alcoholism treatment location, with special emphasis on the roles of comorbidities is considered. Three specific questions are addressed: 1) what demographic and health factors have significant impacts on treatment location for both short- and long-term alcoholism and nonalcoholism treatments?; 2) how does the impact of alcohol dependence differ from the impact of alcohol abuse, on probabilities of short-term or long-term inpatient treatment?; and 3) what are the impacts of health comorbidities on probabilities of inpatient treatment in the short or long term? A binomial logit model is estimated for short- and long-term alcoholism treatment, as well as for short- and long-term nonalcoholism treatment (which occurs at the same time). The results indicate the importance of comorbidities in predicting treatment location. They also indicate a trend during the 1980s toward increased use of outpatient rather than inpatient treatment.
在本研究中，考虑了一个酗酒治疗地点的离散选择模型，特别强调了共病的作用。研究了三个具体问题：1）哪些人口统计学和健康因素对短期和长期酗酒及非酗酒治疗的治疗地点有显著影响？2）酒精依赖的影响与酒精滥用的影响在短期或长期住院治疗概率上有何不同？3）健康共病对短期或长期住院治疗概率有何影响？针对短期和长期酗酒治疗以及短期和长期非酗酒治疗（同时进行）估计了二项逻辑模型。结果表明共病在预测治疗地点方面的重要性。它们还表明了20世纪80年代门诊治疗使用增加而非住院治疗的趋势。
