PMID: 11343483May 10, 2001Paper

Regular outpatient medical and drug abuse care and subsequent hospitalization of persons who use illicit drugs

JAMA : the Journal of the American Medical Association
C LaineB J Turner

Abstract

Patients and the public could benefit from identification of factors that prevent drug users' heavy reliance on inpatient care; however, optimal health care delivery models for illicit drug users remain ill-defined. To evaluate associations of outpatient medical and drug abuse care with drug users' subsequent hospitalization rates. Retrospective cohort study of data from longitudinally linked claims for all ambulatory physician/clinic services and drug abuse services covered by the New York State Medicaid program. A total of 11 556 human immunodeficiency virus (HIV)-positive and 46 687 HIV-negative drug users. Hospitalization in federal fiscal year (FFY) 1997 compared by 4 patterns of care in FFY 1996: regular drug abuse care (>/=6 months in 1 program), regular medical care (>35% of care from 1 clinic, group practice, or individual physician), both, or neither. Hospitalization occurred in 55.6% of HIV-positive and 37.5% of HIV-negative drug users, with a mean of 27.5 and 24.5 inpatient days, respectively. In HIV-positive drug users, the adjusted odds ratio (AOR) for hospitalization was lowest among those with both regular medical and drug abuse care (AOR, 0.76; 95% confidence interval [CI], 0.67-0.85) followed by those with reg...Continue Reading

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