University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.
Department Medicine, Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL, 33136, USA.
Subst Abuse Treat Prev Policy. 2021 May 31;16(1):46. doi: 10.1186/s13011-021-00383-w.
People who inject drugs (PWID) suffer high morbidity and mortality from injection related infections (IRI). The inpatient setting is an ideal opportunity to treat underlying substance use disorder (SUD), but it is unclear how often this occurs.
To quantify the utilization of behavioral health services for PWID during inpatient admissions for IRI.
Data for all hospital admissions in Florida in FY2017 were obtained from the Agency for Healthcare Administration. Hospitalization for IRI were obtained using a validated ICD-10 algorithm and treatment for substance use disorder was quantified using ICD-10-Procedure Coding System (ICD-10-PCS) codes.
Among the 20,001 IRI admissions, there were 230 patients who received behavioral health services as defined by ICD-10-PCS SAT codes for treatment for SUD.
In a state with a large number of IRI, only a very small portion of admissions received behavioral health services. Increased efforts should be directed to studying referral patterns among physicians and other providers caring for this population and increasing utilization of behavioral health services.
注射毒品者(PWID)因与注射相关的感染(IRI)而遭受高发病率和死亡率。住院治疗是治疗潜在药物使用障碍(SUD)的理想机会,但尚不清楚这种情况发生的频率。
量化 PWID 在因 IRI 住院期间对行为健康服务的利用情况。
从医疗保健管理局获得了 2017 财年佛罗里达州所有住院患者的数据。使用经过验证的 ICD-10 算法获得了 IRI 住院治疗,使用 ICD-10-程序编码系统(ICD-10-PCS)代码量化了物质使用障碍的治疗。
在 20,001 例 IRI 入院患者中,有 230 例患者接受了行为健康服务,这些服务由治疗 SUD 的 ICD-10-PCS SAT 代码定义。
在一个有大量 IRI 的州,只有一小部分住院患者接受了行为健康服务。应加大努力,研究为这一人群提供护理的医生和其他提供者之间的转诊模式,并增加行为健康服务的利用率。