High inpatient utilization among Veterans Health Administration patients with substance-use disorders and co-occurring mental health conditions
作者： Janelle M. Painter , Carol A. Malte , Anna D. Rubinsky , Timothy R. Campellone , Amanda K. Gilmore
DOI: 10.1080/00952990.2017.1381701
关键词: Substance use 、 Inpatient utilization 、 Veterans health 、 Mental health 、 Emergency medicine 、 Confidence interval 、 Mental illness 、 Health care 、 Schizophrenia 、 Medicine 、 Psychiatry
摘要: ABSTRACTBackground. Substance-use disorders (SUDs) are common and costly conditions. Understanding high inpatient utilization (HIU) among patients with SUD can inform the development of treatment approaches designed to reduce healthcare expenditures improve service quality. Objectives. To examine prevalence, type, predictors HIU co-occurring mental health Methods. Service demographic clinical variables were extracted from a national sample Veterans Health Administration (VA) SUD-only [n = 148,960 (98.3% male)], plus serious illness ([i.e. schizophrenia- and/or bipolar-spectrum disorders; SUD/SMI; n = 75,913 (91.6% other [SUD/MI; n = 245,675 (94.6% male)]. Regression models used during follow-up year. Results. Prevalence group was 6.2% (95% confidence interval (CI): 6.1%–6.3%) compared 22.7% CI: 22.4%–23.0%) ...
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