Leon S C, Lyons J S, Christopher N J, Miller S I
Northwestern University Medical School, Chicago, Illinois 60611, USA.
Am J Addict. 1998 Winter;7(1):81-6.
The authors compared patterns of psychiatric hospitalization utilization and outcomes between persons with and without co-existing substance-related disorders in a managed care environment by means of a prospective follow-along study of persons hospitalized for psychiatric reasons under the auspices of a large regional managed care firm. Forty-two psychiatric inpatients with comorbid substance disorders and 121 inpatients without coexisting substance disorders were compared across measures of service use and psychiatric acuity. Readmission to the hospital was assessed at 30 days and after 6 months. Patients with coexisting substance disorders spent fewer days in the hospital, but were rehospitalized at a higher rate both within 30 days and (significantly) after 6 months. These results suggest that the revolving-door pattern of service utilization is also present in managed care environments.
作者通过对一家大型区域管理式医疗公司赞助下因精神疾病住院的患者进行前瞻性跟踪研究，比较了在管理式医疗环境中，有和没有并存物质相关障碍的人群的精神科住院利用模式及结果。比较了42名患有共病物质障碍的精神科住院患者和121名没有并存物质障碍的住院患者在服务使用和精神敏锐度方面的指标。在30天和6个月后评估再次住院情况。并存物质障碍的患者住院天数较少，但在30天内以及（显著）6个月后再次住院的比率较高。这些结果表明，服务利用的“旋转门”模式在管理式医疗环境中也存在。
