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首页> 外文期刊>Journal of substance abuse treatment >Substance use treatment barriers for patients with frequent hospital admissions.
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Substance use treatment barriers for patients with frequent hospital admissions.

机译:频繁住院患者的药物使用治疗障碍。

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摘要

Substance use (SU) disorders adversely impact health status and contribute to inappropriate health services use. This qualitative study sought to determine SU-related factors contributing to repeated hospitalizations and to identify opportunities for preventive interventions. Fifty Medicaid-insured inpatients identified by a validated statistical algorithm as being at high-risk for frequent hospitalizations were interviewed at an urban public hospital. Patient drug/alcohol history, experiences with medical, psychiatric and addiction treatment, and social factors contributing to readmission were evaluated. Three themes related to SU and frequent hospitalizations emerged: (a) barriers during hospitalization to planning long-term treatment and follow-up, (b) use of the hospital as a temporary solution to housing/family problems, and (c) unsuccessful SU aftercare following discharge. These data indicate that homelessness, brief lengths of stay complicating discharge planning, patient ambivalence regarding long-term treatment, and inadequate detox-to-rehab transfer resources compromise substance-using patients' likelihood of avoiding repeat hospitalization. Intervention targets included supportive housing, detox-to-rehab transportation, and postdischarge patient support.
机译:物质使用(SU)疾病会对健康状况产生不利影响,并导致不适当地使用医疗服务。这项定性研究旨在确定与SU相关的因素,这些因素会导致重复住院,并确定预防性干预措施的机会。在一家城市公立医院接受了经验证的统计算法确认为高风险频繁住院的50名接受医疗补助的住院患者的采访。评估患者的药物/酒精史,药物,精神病和成瘾治疗的经验以及有助于再入院的社会因素。出现了与SU和频繁住院相关的三个主题:(a)住院期间规划长期治疗和随访的障碍;(b)使用医院作为住房/家庭问题的临时解决方案;(c)SU失败出院后的护理。这些数据表明,无家可归者,短暂的居留时间使出院计划复杂化,患者对长期治疗的态度不明确以及排毒到康复的转移资源不足,损害了使用药物的患者避免再次住院的可能性。干预目标包括支持性住房,排毒到康复运输以及出院后患者支持。

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