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Predicting outpatient treatment entry following detoxification for injection drug use: The impact of patient and program factors

机译:排毒注射药物后预测门诊治疗进入:患者和程序因素的影响

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摘要

This article examines variables that predicted outpatient treatment entry within 6 months of residential detoxification. Patient data were collected from 632 injection drug users enrolled in a randomized trial conducted at eight detoxification programs within the National Drug Abuse Treatment Clinical Trials Network (CTN) with follow-up assessments conducted at 2, 8, 16, and 24 weeks. Detoxification program characteristics were collected during this study and from a survey of CTN treatment organizations. Survival analysis found that estimated proportions of reported outpatient treatment entry varied across sites from .06 to .72. A model-building approach determined variables significantly associated with outpatient treatment entry. The best predictive model contained five program-level variables: accreditation, fewer beds, longer stays, shorter distance between detoxification and outpatient unit, and larger city population. Results suggest the importance of detoxification program characteristics in facilitating further treatment and the need for systems modifications to improve continuity of care. ? 2010 Elsevier Inc. All rights reserved.
机译:本文研究了预测排毒后6个月内进入门诊治疗的变量。收集了632名注射吸毒者的患者数据,这些吸毒者参加了在国家药物滥用治疗临床试验网络(CTN)的八个排毒计划中进行的随机试验,并在2、8、16和24周进行了随访评估。排毒程序的特征是在这项研究期间以及对CTN治疗组织的一项调查中收集的。生存分析发现,报告的门诊治疗进入比例估计从0.06到.72不等。建立模型的方法确定与门诊治疗进入显着相关的变量。最佳预测模型包含五个程序级别的变量:认证,床位数更少,住院时间更长,排毒与门诊病人之间的距离更短以及城市人口更多。结果表明排毒程序特征在促进进一步治疗中的重要性以及对系统进行改进以提高护理连续性的需求。 ? 2010 Elsevier Inc.保留所有权利。

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