Nace E P
Substance Abuse Programs, Green Oaks at Medical City Dallas, Texas 75230.
Recent Dev Alcohol. 1993;11:429-51.
The historical role of inpatient treatment for alcoholism is reviewed in terms of its advantages and disadvantages. The factors that have forced a change in the utilization of inpatient treatment include increasing recognition of the heterogeneity of alcoholic patients, negative outcome studies, and cost-containment efforts. The clinical domains that warrant inpatient treatment are outlined, and decisions of treatment placement are necessarily guided by the factors of acuteness, ability, safety, and stabilization.
本文从住院治疗酗酒的利弊方面回顾了其历史作用。促使住院治疗使用发生变化的因素包括对酗酒患者异质性的认识不断提高、负面结果研究以及成本控制措施。概述了需要住院治疗的临床领域，治疗安置决策必然受急性程度、能力、安全性和稳定性等因素的指导。
