Unscheduled admissions and AMA discharges from a substance abuse unit.
On the inpatient substance abuse service of the Philadelphia Veterans Administration Hospital, we found that patients who were admitted to the hospital « unscheduled » had a disproportionately higher incidence of subsequent AMA (against medical advice) discharge, particularly if they were alcoholic.
This finding calls into question the cost-effectiveness of hospitalization as an initial treatment strategy for substance abusers who enter treatment impulsively and points out the need for additional study to determine the most cost-effective treatments for addicts whose primary motivation for treatment may be to obtain relief from precipitating stressors.
Mots-clés Pascal : Toxicomanie, Alcoolisme, Sortie hôpital, Hospitalisation, Analyse coût efficacité, Homme, Sortie contre avis
Mots-clés Pascal anglais : Drug addiction, Alcoholism, Hospital discharge, Hospitalization, Cost efficiency analysis, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0486914
Code Inist : 002B18C05D. Création : 10/04/1997.