Siegel C, Haugland G, Goodman A B, Wanderling J
J Stud Alcohol. 1984 Nov;45(6):504-9. doi: 10.15288/jsa.1984.45.504.
In a country in which the public mental health sector provides services to alcoholics, the costs of direct care to alcoholics were compared with those of other mental health patients. Costs were developed for a 1-yr cohort of patients who had received inpatient care but who had recently come from the community and returned to the community. The costs were based on inpatient and outpatient utilization within 2 yr of follow-up, commencing at discharge from inpatient care. Alcoholics represented the largest single diagnostic group in the cohort (39%), although their cost of care was only 22% of total costs. This is so despite the facts that similar percentages of alcoholics and nonalcoholics required rehospitalization in the 2 yr of follow-up and both groups exhibited similar patterns in the number of readmissions. Alcoholics have lower costs than other patients because they use cumulatively fewer inpatient days and receive fewer days of the most expensive outpatient service of full-day treatment. On the average, the cost to serve alcoholic patients is less than half the cost to serve nonalcoholic patients.
在一个由公共心理健康部门为酗酒者提供服务的国家，对酗酒者的直接护理成本与其他心理健康患者的护理成本进行了比较。成本是针对一组接受过住院治疗但最近来自社区并返回社区的患者在一年时间内产生的。这些成本基于从住院治疗出院开始的两年随访期内的住院和门诊使用情况。酗酒者是该队列中最大的单一诊断组（39%），尽管他们的护理成本仅占总成本的22%。尽管在两年的随访期内，酗酒者和非酗酒者需要再次住院的比例相似，且两组在再次入院次数上表现出相似的模式，但情况依然如此。酗酒者的成本低于其他患者，因为他们累计使用的住院天数较少，接受最昂贵的全日制门诊治疗的天数也较少。平均而言，为酗酒患者提供服务的成本不到为非酗酒患者提供服务成本的一半。
