Welte J W, Perry P, Longabaugh R, Clifford P R
Research Institute on Addictions, Buffalo, NY 14203, USA.
Addiction. 1998 Apr;93(4):573-81. doi: 10.1046/j.1360-0443.1998.93457312.x.
To determine the effectiveness of the Health Care Intervention Service (HIS), an early intervention program for general hospital patients with alcohol dependence or at risk for alcohol dependence.
DESIGN, SETTING AND PARTICIPANTS: HIS consists of screening, assessment and assignment to either full or risk-reduction intervention. Full intervention includes a referral to treatment. Outcomes were compared across three groups: those who received a full intervention, those who received a risk-reduction intervention, and a comparison group of similar patients from hospitals with no HIS program. Patients were screened for alcohol involvement and interviewed during their hospitalization (prior to the intervention in HIS hospitals) and again 6 months following the intervention.
Full intervention was effective in increasing the probability of abstinence, reducing the number of heavy drinking days, and encouraging patients to accept the referral to treatment. Risk-reduction intervention was effective in reducing alcohol consumption and consequences, but only for those patients who had some signs of dependence at the first interview.
HIS has demonstrated its effectiveness in a "real world" bureaucratic and clinical environment.
确定医疗保健干预服务（HIS）的有效性，这是一项针对综合医院酒精依赖或有酒精依赖风险患者的早期干预项目。
设计、地点和参与者：HIS包括筛查、评估以及分配至全面或降低风险干预。全面干预包括转介接受治疗。对三组的结果进行了比较：接受全面干预的患者、接受降低风险干预的患者，以及来自没有HIS项目医院的类似患者组成的对照组。在患者住院期间（在有HIS项目的医院进行干预之前）对其饮酒情况进行筛查并进行访谈，干预后6个月再次进行访谈。
全面干预在提高戒酒可能性、减少重度饮酒天数以及鼓励患者接受转介治疗方面有效。降低风险干预在减少酒精消费及其后果方面有效，但仅对首次访谈时有一些依赖迹象的患者有效。
HIS已在“现实世界”的官僚和临床环境中证明了其有效性。
