Health Science North, Sudbury, Canada.
Northern Ontario School of Medicine, 936 Ramsey Lake Road, Sudbury, ON, P3E 2C6, Canada.
Subst Abuse Treat Prev Policy. 2023 May 22;18(1):29. doi: 10.1186/s13011-023-00537-y.
The goal of this study was to (1) Describe the patient population of a newly implemented addiction medicine consult service (AMCS); (2) Evaluate referrals to community-based addiction support services and acute health service use, over time; (3) Provide lessons learned.
A retrospective observational analysis was conducted at Health Sciences North in Sudbury, Ontario, Canada, with a newly implemented AMCS from November 2018 and July 2021. Data were collected using the hospital's electronic medical records. The outcomes measured included the number of emergency department visits, inpatient admissions, and re-visits over time. An interrupted time-series analysis was performed to measure the effect of AMCS implementation on acute health service use at Health Sciences North.
A total of 833 unique patients were assessed through the AMCS. A total of 1,294 referrals were made to community-based addiction support services, with the highest proportion of referrals between August and October 2020. The post-intervention trend for ED visits, ED re-visits, ED length of stay, inpatient visits, re-visits, and inpatient length of stay did not significantly differ from the pre-intervention period.
Implementation of an AMCS provides a focused service for patients using with substance use disorders. The service resulted in a high referral rate to community-based addiction support services and limited changes in health service usage.
本研究旨在：(1)描述新开设的成瘾医学咨询服务（AMCS）的患者人群；(2)评估随时间推移向社区成瘾支持服务和急性卫生服务的转介情况；(3)提供经验教训。
在加拿大安大略省萨德伯里的健康科学北（Health Sciences North）进行了一项回顾性观察性分析，该分析涉及 2018 年 11 月至 2021 年 7 月新开设的 AMCS。数据通过医院的电子病历收集。测量的结果包括急诊就诊次数、住院入院次数和随时间的再次就诊次数。采用中断时间序列分析来衡量 AMCS 实施对健康科学北急性卫生服务使用的影响。
共有 833 名患者通过 AMCS 进行了评估。共向社区成瘾支持服务转介了 1294 例，2020 年 8 月至 10 月转介比例最高。ED 就诊、ED 复诊、ED 住院时间、住院就诊、再次住院和住院时间的干预后趋势与干预前无显著差异。
实施 AMCS 为使用物质相关障碍的患者提供了集中服务。该服务导致向社区成瘾支持服务的转介率很高，而对卫生服务使用的变化有限。
