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A missed opportunity: underutilization of inpatient behavioral health services to reduce injection drug use sequelae in Florida

机译:错过了机会:在佛罗里达州减少注射药物使用后遗症的住院行为健康服务的未充分利用

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People who inject drugs (PWID) suffer high morbidity and mortality from injection related infections (IRI). The inpatient setting is an ideal opportunity to treat underlying substance use disorder (SUD), but it is unclear how often this occurs. To quantify the utilization of behavioral health services for PWID during inpatient admissions for IRI. Data for all hospital admissions in Florida in FY2017 were obtained from the Agency for Healthcare Administration. Hospitalization for IRI were obtained using a validated ICD-10 algorithm and treatment for substance use disorder was quantified using ICD-10-Procedure Coding System (ICD-10-PCS) codes. Among the 20,001 IRI admissions, there were 230 patients who received behavioral health services as defined by ICD-10-PCS SAT codes for treatment for SUD. In a state with a large number of IRI, only a very small portion of admissions received behavioral health services. Increased efforts should be directed to studying referral patterns among physicians and other providers caring for this population and increasing utilization of behavioral health services.
机译:注射药物(PWID)的人从注射相关感染(IRI)中遭受高发病率和死亡率。住院环境是治疗底层物质使用障碍(SUD)的理想机会,但目前尚不清楚这发生的频率。在IRI期间量化适用于住院入住入院入住入院招生的行为健康服务的利用。 FY2017在2017财年的所有医院入院的数据获取从医疗保健管理机构获得。使用验证的ICD-10算法获得IRI住院治疗,使用ICD-10过程编码系统(ICD-10-PC)代码量化物质使用障碍的处理。在20,001中的IRI招生中,有230名患者接受ICD-10-PCS定义的行为健康服务,用于苏丹群体治疗。在具有大量IRI的状态下,只有一小部分录取接受了行为保健服务。应加大努力,以研究医生和其他照顾该人口的其他提供商以及不断利用行为保健服务的推荐模式。

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