Division of General Internal Medicine , University of California,Los Angeles, 911 Broxton Ave., 3rd Floor, Los Angeles, CA 90024, USA.
Psychiatr Serv. 2009 Dec;60(12):1676-9. doi: 10.1176/ps.2009.60.12.1676.
Few studies have examined access to a regular source of medical care and preventive medical care among adults being treated for substance abuse. This report describes the prevalence of a usual source of care, use of preventive care services, and self-reported chronic conditions among adults in a publicly funded substance abuse treatment program.
The investigators partnered with a large behavioral health organization in Los Angeles County to conduct an interviewer-administered survey during June 2008.
A total of 254 clients completed the survey. Fifty percent reported having a usual source of medical care, and 70% reported at least one visit to a physician within the prior 12 months. Participants reported low receipt of most preventive care screening measures. Half had at least one chronic condition, with hypertension, asthma, and arthritis most often reported.
Although this middle-aged sample with substantial medical need reported having access to care, receipt of preventive care was low and unaddressed health concerns were reported.
鲜有研究调查接受物质滥用治疗的成年人获得常规医疗服务和预防医疗服务的情况。本报告描述了在一个公共资助的物质滥用治疗项目中，成年人中有常规医疗服务来源、使用预防保健服务和自我报告的慢性疾病的流行情况。
调查人员与洛杉矶县的一个大型行为健康组织合作，于 2008 年 6 月进行了一次访谈式调查。
共有 254 名患者完成了调查。50%的人报告有常规医疗服务来源，70%的人报告在过去 12 个月内至少看过一次医生。参与者报告接受大多数预防保健筛查措施的比例较低。一半人至少有一种慢性疾病，高血压、哮喘和关节炎最常见。
尽管这个中年样本有大量的医疗需求，但报告称他们能够获得医疗服务，但预防保健的接受程度较低，存在未得到解决的健康问题。
