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酗酒治疗网络中的诊断与转诊可靠性

Diagnostic and referral reliability in an alcoholism treatment network.

作者信息

Mather D B, Chinsky J M

机构信息

University of Connecticut, USA.

出版信息

J Subst Abuse. 1996;8(1):81-91. doi: 10.1016/s0899-3289(96)90103-0.

DOI:10.1016/s0899-3289(96)90103-0
PMID:8743770
Abstract

Diagnostic and referral reliability were studied throughout an integrated alcoholism referral and treatment network. Diagnosticians included volunteers from an inpatient alcohol program staff, an outpatient referral network, a hospital medical staff, and a hospital administrative staff. Participant category had no influence on diagnostic reliability and only minimal influence on referral reliability. Cases involving only physical addiction to alcohol, particularly withdrawal symptoms, were more reliably diagnosed and referred than were cases involving psychosocial problems alone. Diagnostic practices included consideration of multiple problem areas for each case. Results are related to prior research findings and current directions in the diagnosis and treatment of alcohol disorders.

摘要

在一个综合性酒精成瘾转诊与治疗网络中,对诊断和转诊的可靠性进行了研究。诊断人员包括住院酒精治疗项目工作人员、门诊转诊网络、医院医务人员和医院行政人员中的志愿者。参与者类别对诊断可靠性没有影响,对转诊可靠性的影响也微乎其微。仅涉及酒精身体成瘾(特别是戒断症状)的病例比仅涉及心理社会问题的病例更能得到可靠的诊断和转诊。诊断方法包括考虑每个病例的多个问题领域。研究结果与先前关于酒精障碍诊断和治疗的研究发现及当前方向相关。

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