New York University, School of Medicine, Bellevue Hospital Center, New York University, New York, NY, USA.
J Addict Dis. 2011 Apr;30(2):116-22. doi: 10.1080/10550887.2011.554776.
Previous research suggests that some substance users have multiple crisis detoxification visits and never access rehabilitation care. This care-seeking pattern leads to poorer outcomes and higher costs. The authors aimed to identify predictors of repeat detoxification visits by analyzing state-level data routinely collected at the time of substances use services admission. Repeat detoxification clients were more likely to be homeless, city-dwelling fee-for-service Medicaid recipients. Repeat detoxification clients were less likely than those with one admission to enter rehabilitation within 3 days. Treatment providers should aim for rapid transfer to rehabilitation and consider expanding detoxification intake data to improve risk stratification.
先前的研究表明，一些物质使用者多次接受危机解毒治疗，却从未接受康复护理。这种寻求治疗的模式导致了更糟糕的结果和更高的成本。作者旨在通过分析在接受物质使用服务时常规收集的州级数据，确定重复解毒治疗的预测因素。重复解毒治疗的患者更有可能无家可归，是城市居民、按服务收费的医疗补助计划受助人。与只有一次入院记录的患者相比，重复解毒治疗的患者在 3 天内进入康复治疗的可能性更小。治疗提供者应旨在快速转入康复治疗，并考虑扩大解毒治疗的摄入量数据，以改善风险分层。
