住院患者成瘾咨询服务：为有复杂成瘾问题的住院患者提供专业服务。
Inpatient Addiction Consult Service: Expertise for Hospitalized Patients with Complex Addiction Problems.
机构信息
Department of Medicine, Boston University School of Medicine, Boston Medical Center, 801 Massachusetts Avenue, Crosstown 2, Boston, MA 02118, USA.
Department of Medicine, Harvard Medical School, Massachusetts General Hospital, 50 Staniford Street, 9th Floor, Boston, MA 02114, USA.
出版信息
Med Clin North Am. 2018 Jul;102(4):587-601. doi: 10.1016/j.mcna.2018.03.001.
Abstract
Substance use disorders are highly prevalent and are a large driver of costly inpatient medical care; however, historically the substance use disorder has gone unaddressed during an inpatient stay. Inpatient addiction consult services are an important intervention to use the reachable moment of hospitalization to engage patients and initiate addiction treatment. Addiction consultation involves taking an addiction-specific history, motivational interviewing, withdrawal symptom management, and initiation of long-term pharmacotherapy. Addiction consult services have the potential to decrease readmissions and utilization costs for medical systems and improve substance-related outcomes for patients.
摘要
物质使用障碍的患病率很高，是导致昂贵住院医疗费用的主要因素之一；然而，在过去，住院期间通常无法解决物质使用障碍问题。住院成瘾咨询服务是一种重要的干预措施，可以利用住院的可及时刻来接触患者并启动成瘾治疗。成瘾咨询包括采集特定于成瘾的病史、动机性访谈、戒断症状管理以及启动长期药物治疗。住院成瘾咨询服务有可能降低医疗系统的再入院率和使用成本，并改善患者的物质相关结局。
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