医疗补助参保者门诊成瘾治疗服务的可及性和急诊服务的使用情况。
Availability of Outpatient Addiction Treatment and Use of Emergency Department Services Among Medicaid Enrollees.
机构信息
The authors are with the College of Social Work, University of South Carolina, Columbia.
出版信息
Psychiatr Serv. 2018 Jun 1;69(6):729-732. doi: 10.1176/appi.ps.201700413. Epub 2018 Apr 26.
OBJECTIVE
The study examined whether the number of outpatient addiction programs accepting Medicaid in South Carolina counties is linked to repeat use of the emergency department for addiction-related conditions.
METHODS
The study included the population all adult Medicaid enrollees (N=2,401) in South Carolina with at least one addiction-related emergency service visit in 2012 or 2013. A random-effects logistic regression model was used to examine the association between outpatient addiction treatment availability and repeat use by Medicaid enrollees of emergency services for addiction-related conditions.
RESULTS
Enrollees in counties with two or more programs that accept Medicaid were less likely to have a repeat addiction-related emergency service visit than enrollees in counties with only one program that accepts Medicaid.
CONCLUSIONS
Availability of outpatient addiction treatment may reduce the need for addiction-related emergency services. Research is needed to explore potential causal mechanisms underlying this observed relationship.
目的
本研究旨在探讨南卡罗来纳州各县提供医疗补助计划（Medicaid）的门诊成瘾治疗项目数量与成瘾相关疾病急诊重复使用之间的关系。
方法
本研究纳入了所有在 2012 年或 2013 年接受过至少一次成瘾相关急诊服务的南卡罗来纳州成年医疗补助计划参保者（N=2401）。采用随机效应逻辑回归模型，考察门诊成瘾治疗服务的可及性与参保者因成瘾相关疾病急诊重复使用服务之间的关联。
结果
与仅有一个接受 Medicaid 的项目的县相比，有两个或更多接受 Medicaid 的项目的县的参保者，其因成瘾相关疾病急诊重复使用服务的可能性更低。
结论
门诊成瘾治疗的可及性可能会降低对成瘾相关急诊服务的需求。需要研究来探索这种观察到的关系背后的潜在因果机制。
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