英国专家酒精住院治疗入院和非专家医院酒精戒断入院：呈反比关系。
Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship.
机构信息
Institute for Clinical and Applied Health Research, Allam Medical Building, University of Hull, Cottingham Road, Hull HU6 7RX, UK.
National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, 4 Windsor Walk, London SE5 8AF, UK.
出版信息
Alcohol Alcohol. 2021 Jan 4;56(1):28-33. doi: 10.1093/alcalc/agaa086.
AIMS
We assessed the relationship between specialist and non-specialist admissions for alcohol withdrawal since the introduction of the UK government Health and Social Care Act in 2012.
METHODS
Using publicly available national data sets from 2009 to 2019, we compared the number of alcohol withdrawal admissions and estimated costs in specialist and non-specialist treatment settings.
RESULTS
A significant negative correlation providing strong evidence of an association was observed between the fall in specialist and rise in non-specialist admissions. Significant cost reductions within specialist services were displaced to non-specialist settings.
CONCLUSIONS
The shift in demand from specialist to non-specialist alcohol admissions due to policy changes in England should be reversed by specialist workforce investment to improve outcomes. In the meantime, non-specialist services and staff must be resourced and equipped to meet the complex needs of these service users.
目的
自 2012 年英国政府《卫生和社会保健法案》出台以来，我们评估了专家和非专家治疗酒精戒断的相关性。
方法
利用 2009 年至 2019 年公开的全国数据集，我们比较了专家和非专家治疗环境中酒精戒断的入院人数和估计费用。
结果
观察到下降的专家治疗和上升的非专家治疗之间存在显著负相关，这为两者之间的关联提供了有力证据。专家服务的显著成本降低转移到了非专家治疗环境中。
结论
由于英格兰政策的变化，对专家酒精戒断治疗的需求从专家治疗转向非专家治疗，这一情况应通过专家人员的投资来扭转，以改善治疗结果。在此期间，必须为非专家服务和工作人员提供资源和设备，以满足这些服务使用者的复杂需求。
Zotero 插件