Alcohol-related social and health service use patterns as predictors of death and remission in patients with AUD
作者： Elina Rautiainen , Olli-Pekka Ryynänen , Eeva Reissell , Jussi Kauhanen , Tiina Laatikainen
DOI: 10.1016/J.JSAT.2018.10.013
关键词:
摘要: Abstract Aim This study examines the extent and continuity of alcohol-related social health service utilization (HSU) individuals with alcohol use disorder (AUD) predicts longitudinal care outcomes in a prospective cohort study, by using electronic records (EHR). In addition, mental (MH) services is examined. Data methods on visits treatment periods were gathered from EHR municipal client databases North Karelia district Finland, between 2011 2016 (n = 396). Results Institutional (odds ratio [OR] 1.55), contact MH nurse (OR 1.22), to primary (PHC) doctor for reasons 1.89) associated increased odds remission. Alcohol-related PHC death 1.67). A high number permanent diagnoses 0.19), drunk driving incidences 0.28), specialized AUD 0.36), 0.50) decreased death. Conclusions Differences HSU identified according outcome status. MH-related achieving an risk Thus, current capacity alone address patients seems insufficient. The integration services, access care, coordination should be improved.
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