التفاصيل البيبلوغرافية
| العنوان: |
On-site medical care in methadone maintenance: Associations with health care use and expenditures |
| المؤلفون: |
Gourevitch, Marc N.1 marc.gourevitch@med.nyu.edu, Chatterji, Pinka2, Deb, Nandini3, Schoenbaum, Ellie E.4, Turner, Barbara J.5 |
| المصدر: |
Journal of Substance Abuse Treatment. Mar2007, Vol. 32 Issue 2, p143-151. 9p. |
| مصطلحات موضوعية: |
*OUTPATIENT medical care, *DRUG abuse treatment, *METHADONE treatment programs, *SUBSTANCE abuse |
| مستخلص: |
Abstract: To evaluate whether long-term drug treatment with on-site medical care is associated with diminished inpatient and outpatient service use and expenditures, we linked prospective interview data to concurrent Medicaid claims of drug users in a methadone program with comprehensive medical services. Patient care was classified as follows: long-term (≥6 months) drug treatment with on-site usual source of medical care (linked care), long-term drug treatment only, or neither. Multivariate analyses adjusted for visit clustering within patients (n = 423, with 1,161 person-years of observation). After adjustment, linked care participants had more outpatient visits (p < .001), fewer emergency department (ED) visits (24% vs. 33%, p = .02) and fewer hospitalizations (27% vs. 40%, p = .002) than the “neither” group. Ambulatory care expenditures in the linked group were increased, whereas expenditures for other services were similar or reduced. Long-term drug treatment with on-site medical care was associated with increased ambulatory care, less ED and inpatient care, and no net increase in expenditures. [Copyright &y& Elsevier] |
| قاعدة البيانات: |
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