Brief reportUtilization of medical services by drug abusers in detoxification
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Cited by (68)
Recurrent use of inpatient withdrawal management services: Characteristics, service use, and cost among Medicaid clients
2018, Journal of Substance Abuse TreatmentEngagement and Substance Dependence in a Primary Care-Based Addiction Treatment Program for People Infected with HIV and People at High-Risk for HIV Infection
2015, Journal of Substance Abuse TreatmentCitation Excerpt :People with substance use disorders (PSUD) are more likely to have co-occurring acute and chronic conditions, such as trauma, overdose, HIV infection, and chronic liver and lung diseases (Cherubin & Sapira, 1993; Haverkos & Lange, 1990; Stein, 1999). Yet they are less likely to engage in primary care (Chitwood, McBride, Metsch, Comerford, & McCoy, 1998; Samet et al., 1998; Sterk, Theall, & Elifson, 2002) and more likely to rely on acute emergency and hospital care that is fragmented and expensive (Cherpitel, 2003; French, McGeary, Chitwood, & McCoy, 2000; McGeary & French, 2000; Stein, O'Sullivan, Ellis, Perrin, & Wartenberg, 1993; Walley et al., 2012). Similarly, studies in people living with HIV (PLWH) have demonstrated that those with co-occurring SUDs have worse health services utilization and health outcomes, including poorer anti-retroviral adherence (Power et al., 2003; Samet, Horton, Traphagen, Lyon, & Freedberg, 2003; Sohler et al., 2007; Sullivan et al., 2011; Tobias et al., 2007), higher levels of emergency room and inpatient utilization, and longer inpatient stays than PLWHs without SUDs (Cunningham et al., 2007); Laine et al., 2001, 2005; Masson, Sorensen, Phibbs, & Okin, 2004.
Identifying patients with problematic drug use in the emergency department: Results of a multisite study
2014, Annals of Emergency MedicineCitation Excerpt :Emergency physicians should consider problematic drug use in anyone who discloses drug use other than marijuana and counsel them about substance abuse treatment. Studies have shown that drug-using individuals are more likely to use the emergency department (ED) for their medical care and are more likely to require hospitalization than their non–drug-using counterparts.9-11 The Drug Abuse Warning Network, a public health surveillance system that monitors drug-related morbidity and mortality, estimated that of the 5.1 million drug-related ED visits nationwide in 2011, 2.5 million visits were directly related to use of illicit substances, nonmedical use of pharmaceuticals, or a combination of these.12
Retention on buprenorphine treatment reduces emergency department utilization, but not hospitalization, among treatment-seeking patients with opioid dependence
2012, Journal of Substance Abuse TreatmentCitation Excerpt :Numerous studies document the increased utilization of ED services among drug users compared with their non-drug using counterparts (French, McGeary, Chitwood, & McCoy, 2000; McGeary & French, 2000; Stein, O'Sullivan, Ellis, Perrin, & Wartenberg, 1993). A significant amount of the excess morbidity and mortality is attributable to preventable illnesses, and unnecessary and inappropriate healthcare utilization (HCU) due to poor access to care (French et al., 2000; McGeary & French, 2000; Stein et al., 1993). There is a substantial body of evidence supporting the use of medication-assisted treatment (MAT)—specifically methadone maintenance treatment (MMT)—in improving health outcomes and decreasing fragmented HCU among drug users (Friedmann, Hendrickson, Gerstein, Zhang, & Stein, 2006; Laine et al., 2001; Laine, Lin, Hauck, & Turner, 2005; Stein & Anderson, 2003; Stenbacka, Leifman, & Romelsjo, 1998).
Longitudinal trends in hospital admissions with co-occurring alcohol/drug diagnoses, 1994-2002
2008, Journal of Substance Abuse TreatmentCitation Excerpt :Cost-of-illness studies interpret the effects of diseases in monetary terms with the intent of guiding the allocation of resources for the public's health (Rice, 2000). Numerous research studies have documented hospital utilization rates and associated costs of individuals with ADAA (Burke, Meek, Krych, Nisbet, & Burke, 1995; French, McGeary, Chitwood, & McCoy, 2000; Gerson et al., 2001; Harwood, 1998; Holder, 1998; Holder & Blose, 1986, 1992; Parthasarathy & Weisner, 2005; Stein et al., 1993; Walter, Ackerson, & Allen, 2005). These studies have demonstrated that individuals with untreated ADAA use health care services and incur costs at twice the rate of those without ADAA.