基于社区的中心治疗与传统医院管理治疗酗酒的随机试验。

Randomised trial of community-based centre versus conventional hospital management in treatment of alcoholism.

作者信息

Potamianos G, North W R, Meade T W, Townsend J, Peters T J

出版信息

Lancet. 1986 Oct 4;2(8510):797-9. doi: 10.1016/s0140-6736(86)90311-9.

Abstract

151 problem drinkers (105 men and 46 women) were recruited from the general medical and psychiatric services of a district general hospital and were allocated randomly to a community-based day centre (ACCEPT) or standard hospital inpatient and outpatient services. 115 patients (79%) were followed up at 12 months. The group as a whole showed improvement in all outcome indices at the 3-month follow-up, and this was maintained at 6 and 12 months. Patients assigned to ACCEPT services claimed to have reduced their alcohol intake (55%) more than their hospital counterparts (37%), and this was confirmed by their informants. Patients referred from the psychiatric services reduced their alcohol intake more than those from general medical services. It is concluded that treatment at a community day centre is at least as cost effective as hospital treatment of alcohol abuse.

摘要

从一家地区综合医院的普通医疗和精神科服务部门招募了151名问题饮酒者（105名男性和46名女性），并将他们随机分配到一个社区日间中心（ACCEPT）或标准的医院住院和门诊服务部门。115名患者（79%）在12个月时接受了随访。在3个月的随访中，整个组在所有结局指标上都有改善，并且在6个月和12个月时得以维持。被分配到ACCEPT服务部门的患者声称，他们减少酒精摄入量的比例（55%）高于医院对应组（37%），这一点也得到了他们的 informant的证实。从精神科服务部门转诊的患者比从普通医疗服务部门转诊的患者减少酒精摄入量的幅度更大。结论是，在社区日间中心进行治疗至少与医院治疗酒精滥用一样具有成本效益。