Integrated outpatient treatment for medically ill alcoholic men : results from a quasi-experimental study.
This report documents the findings of a quasi-experimental study of a new approach to treating medically ill alcoholics.
We compared 50 ARD patients with 50 patients who met eligibility for the clinic, but had to be referred elsewhere because the clinic was full at the time (referred patients).
Referred patients received medical care in other MVAMC clinics or in the community.
During the 2-year follow-up period, ARD patients returned for outpatient visits over three times as often as referred patients (p<. 001), More referred patients received no follow-up care at MVAMC (p<. 01).
ARD patients had more frequent (p<
05) but briefer (p<. 01) hospitalizations.
Almost twice as many referred (32%) as ARD patients (18%) died during the follow-up period.
Referred patients ranged from 1.18 times less likely to 5.03 times more likely to die during follow-up than those in the ARD group p=11).
ARD patients lived for an average of 82 days longer than referred patients, and each ARD clinic visit in the second follow-up year predicted an additional 3.5 days lived (p<. 01).
Integrated outpatient treatment for medically ill alcoholics appears to improve outpatient follow-up and alter patterns of hospitalization when compared with standard approaches.
Mots-clés Pascal : Alcoolisme, Association morbide, Maladie, Programme thérapeutique, Programme sanitaire, Ambulatoire, Sevrage toxique, Etude longitudinale, Travail équipe, Personnel sanitaire, Ancien combattant, Mâle, Traitement, Homme
Mots-clés Pascal anglais : Alcoholism, Concomitant disease, Disease, Therapeutic schedule, Sanitary program, Ambulatory, Poison withdrawal, Follow up study, Team work, Health staff, Veteran, Male, Treatment, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0326952
Code Inist : 002B18I15. Création : 01/03/1996.