Lee Margaret T, Horgan Constance M, Garnick Deborah W, Acevedo Andrea, Panas Lee, Ritter Grant A, Dunigan Robert, Babakhanlou-Chase Hermik, Bidorini Alfred, Campbell Kevin, Haberlin Karin, Huber Alice, Lambert-Wacey Dawn, Leeper Tracy, Reynolds Mark
Institute for Behavioral Health, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454-9110.
Institute for Behavioral Health, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454-9110.
J Subst Abuse Treat. 2014 Aug;47(2):130-9. doi: 10.1016/j.jsat.2014.04.002. Epub 2014 May 2.
Administrative data from five states were used to examine whether continuity of specialty substance abuse treatment after detoxification predicts outcomes. We examined the influence of a 14-day continuity of care process measure on readmissions. Across multiple states, there was support that clients who received treatment for substance use disorders within 14-days after discharge from detoxification were less likely to be readmitted to detoxification. This was particularly true for reducing readmissions to another detoxification that was not followed with treatment and when continuity of care was in residential treatment. Continuity of care in outpatient treatment was related to a reduction in readmissions in some states, but not as often as when continuity of care occurred in residential treatment. A performance measure for continuity of care after detoxification is a useful tool to help providers monitor quality of care delivered and to alert them when improvement is needed.
来自五个州的行政数据被用于检验戒毒后专科药物滥用治疗的连续性是否能预测治疗结果。我们研究了一项为期14天的护理连续性过程指标对再次入院的影响。在多个州，有证据表明，在戒毒出院后14天内接受药物使用障碍治疗的患者再次入院接受戒毒治疗的可能性较小。在减少再次入住未接受后续治疗的另一家戒毒机构以及护理连续性发生在住院治疗时，情况尤其如此。门诊治疗中的护理连续性在某些州与再次入院率的降低有关，但不像护理连续性发生在住院治疗时那么常见。戒毒后护理连续性的绩效指标是一个有用的工具，可帮助提供者监测所提供护理的质量，并在需要改进时提醒他们。
