Copeland Laurel A, Blow Frederic C, Barry Kristen Lawton
VA Medical Center, Health Services Research & Development, Ann Arbor, Michigan 48113-0170, USA.
Health Educ Behav. 2003 Jun;30(3):305-21. doi: 10.1177/1090198103030003006.
The objective of the study was to estimate the effect of a brief alcohol-reduction intervention on health care use. Male veterans aged 55 years and older drinking more than guideline limits participated in an effective primary care-based randomized clinical trial to reduce drinking. Repeated measures ANCOVA assessed short-term and long-term changes in both inpatient and outpatient utilization. Stage of change (SOC) was assessed in a subsample to test for interaction between SOC and the intervention. Veterans exposed to the intervention used more outpatient medical services in the short term. Long-term effects on inpatient/outpatient use were not observed. SOC did not moderate the effect of the intervention but was associated with differential use of health care services. A cost-effective brief intervention to reduce drinking may spur increased efforts to seek health care. Early detection and management of alcohol-related or other illnesses might be expected to accrue savings in later years.
该研究的目的是评估一项简短的减少饮酒干预措施对医疗保健利用的影响。年龄在55岁及以上且饮酒量超过指南限制的男性退伍军人参与了一项有效的基于初级保健的随机临床试验以减少饮酒。重复测量协方差分析评估了住院和门诊利用率的短期和长期变化。在一个子样本中评估了改变阶段（SOC），以测试SOC与干预之间的相互作用。接受干预的退伍军人在短期内使用了更多的门诊医疗服务。未观察到对住院/门诊使用的长期影响。SOC并未调节干预的效果，但与医疗保健服务的差异使用有关。一项具有成本效益的减少饮酒简短干预措施可能会促使人们增加寻求医疗保健的努力。预计在后期对酒精相关或其他疾病的早期发现和管理可能会节省费用。
