Schmidt Laura A
Department of Anthropology, History, and Social Medicine at the School of Medicine, University of California at San Francisco, San Francisco, California.
Alcohol Res. 2016;38(1):27-33.
In the United States, only about 10 percent of people with an alcohol or drug use disorder receive care for the condition, pointing to a large treatment gap. Several personal characteristics influence whether a person will receive treatment; additionally, many people with an alcohol use disorder do not perceive the need for treatment. The extent of the treatment gap differs somewhat across different population subgroups, such as those based on gender, age, or race and ethnicity. Recent health care reforms, such as implementation of the Patient Protection and Affordable Care Act of 2010, likely will improve access to substance abuse treatment. In addition, new treatment approaches, service delivery systems, and payment innovations may facilitate access to substance abuse services. Nevertheless, efforts to bridge the treatment gap will continue to be needed to ensure that all people who need alcohol and drug abuse treatment can actually receive it.
在美国，只有约10%患有酒精或药物使用障碍的人接受了针对该病症的治疗，这表明存在巨大的治疗缺口。若干个人特征会影响一个人是否接受治疗；此外，许多患有酒精使用障碍的人并未意识到需要治疗。治疗缺口的程度在不同人群亚组中略有不同，比如基于性别、年龄或种族和族裔的亚组。近期的医疗保健改革，如2010年《患者保护与平价医疗法案》的实施，可能会改善药物滥用治疗的可及性。此外，新的治疗方法、服务提供系统和支付创新可能会促进药物滥用服务的可及性。尽管如此，仍将需要继续努力弥合治疗缺口，以确保所有需要酒精和药物滥用治疗的人都能真正获得治疗。
