PMID: 11927454Apr 3, 2002Paper

Health care utilization of chronic inebriates

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Lisa ThornquistSteven Sterner

Abstract

Chronic inebriates often use emergency services, including the emergency department (ED), because they lack other resources or access to primary care. Because of their complicated medical needs, which are often exacerbated by acute intoxication and related illness or injury, a relatively small number of acutely intoxicated chronic inebriates can stretch ED resources and contribute to ED over-crowding. In order to address this, as well as overutilization of other county services, three county programs were developed (ethnic- and gender-specific supportive housing; intensive street case management) to reduce emergency resource utilization while still providing a safe environment. This study determined the effectiveness of these programs. The authors hypothesized that program enrollment would reduce medical and detoxification (detox) expenditures for this patient population. Pre- and postprogram comparisons were made on the number of detox and medical visits, insured days, and charges. Data were retrieved (with patients' written informed consent) from hospital and health plan billings and county databases. Descriptive statistics compared groups pre and post enrollment. Least-squares regression predicted total and non-inpatient med...Continue Reading

Citations

Oct 20, 2011·Community Mental Health Journal·Michael A Mancini, Wynter Wyrick-Waugh
May 27, 2005·Drug and Alcohol Dependence·Sujaya Parthasarathy, Constance M Weisner
Apr 6, 2004·Journal of Substance Abuse Treatment·Brandon K MartinThomas P Beresford
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